Individual provider Active NPI

Alice Yu, CPNP

  • Pediatric Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1023369535
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
23035 Issued in CA
Practice address
728 Pacific Ave Ste 703
San Francisco, CA 94133-4492
Phone
(415) 805-7782
Fax
(415) 805-7783
NPI assigned
Sep 24, 2012
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 23035 CA Primary

Addresses

Primary practice location

728 Pacific Ave Ste 703
San Francisco, CA 94133-4492

Mailing address

728 Pacific Ave Ste 703
San Francisco, CA 94133-4492
Phone (415) 805-7782

Other practice location 1

595 Buckingham Way Ste 314
San Francisco, CA 94132-1911
Phone (415) 566-1734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
California Pacific Medical Group, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1023369535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 PACIFIC AVE STE 703",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334492",
            "telephone_number": "415-805-7782",
            "fax_number": "415-805-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 PACIFIC AVE STE 703",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334492",
            "telephone_number": "415-805-7782",
            "fax_number": "415-805-7783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "595 Buckingham Way Ste 314",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941321911",
            "country_code": "US",
            "telephone_number": "415-566-1734",
            "fax_number": "415-566-3620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YU",
        "first_name": "ALICE",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "23035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.