Organization Active NPI

Shao Hua Ye MD Inc

  • Psychiatry Physician
  • San Gabriel, CA
National Provider Identifier
1023418076
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A110344 Issued in CA
Legal business name
SHAO HUA YE MD INC
Practice address
416 W Las Tunas Dr
Ste 205
San Gabriel, CA 91776-1236
Phone
(626) 888-1951
Fax
(626) 701-5032
NPI assigned
Aug 27, 2014
Last updated
Aug 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Authorized official

Name
Shao Hua Ye, M.D
Title
Owner
Phone
(626) 888-1951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A110344 CA Primary

Addresses

Primary practice location

416 W Las Tunas Dr
Ste 205
San Gabriel, CA 91776-1236

Mailing address

416 W Las Tunas Dr
Ste 205
San Gabriel, CA 91776-1236
Phone (626) 888-1951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141009000367 CA Part B Supplier - Clinic/Group Practice 5991925281 Receives reassigned benefits from 1 practitioner
Practice locations: San Gabriel, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409097600000",
    "number": "1023418076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 W LAS TUNAS DR",
            "address_2": "STE 205",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761236",
            "telephone_number": "626-888-1951",
            "fax_number": "626-701-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 W LAS TUNAS DR",
            "address_2": "STE 205",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761236",
            "telephone_number": "626-888-1951",
            "fax_number": "626-701-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAO HUA YE MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A",
        "authorized_official_last_name": "YE",
        "authorized_official_first_name": "SHAO",
        "authorized_official_middle_name": "HUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-888-1951",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A110344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.