Individual provider Active NPI

Son Ha Yu, MD

  • Vascular Surgery Physician
  • Rancho Mirage, CA
National Provider Identifier
1073705778
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A92691 Issued in CA
Practice address
71780 San Jacinto Dr BLDG I
Rancho Mirage, CA 92270-5516
Phone
(760) 568-3461
Fax
(760) 423-6273
NPI assigned
Aug 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X A92691 CA
Vascular Surgery Physician 2086S0129X A92691 CA Primary

Addresses

Primary practice location

71780 San Jacinto Dr BLDG I
Rancho Mirage, CA 92270-5516

Mailing address

71780 San Jacinto Dr BLDG I
Rancho Mirage, CA 92270-5516
Phone (760) 568-3461

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address desertveinspecialists@808.direct.myezyaccess.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161118000410 CA Practitioner - Vascular SurgeryPractitioner - Cardiovascular Disease (Cardiology) 1153402367 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Empire Vein and Vascular SpecialistsGroup PAC ID 1951732759, 6 clinicians
Desert Advanced Imaging Medical CenterGroup PAC ID 6406749613, 209 clinicians

Practice addresses (Care Compare)

71780 San Jacinto Dr
BLDG I
Rancho Mirage, CA 92270-5516
Phone 76056834613

72855 Fred Waring Dr
Palm Desert, CA 92260-9368
Phone (760) 837-1420

Hospital & facility affiliations

  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal413
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A92691CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Advanced Imaging Medical Center CurrentSince Aug 1, 2016 Accepting new patients
Beverly Radiology Medical Group III CurrentSince Jul 14, 2025 Accepting new patients
Beverly Radiology Medical Group III CurrentSince Jul 14, 2025 Accepting new patients
Empire Vein & Vascular Specialists Vascular Surgery CurrentSince Jun 1, 2014 Accepting new patients
Beverly Radiology Medical Group III CurrentSince Jul 14, 2025 Accepting new patients
Beverly Radiology Medical Group III CurrentSince Jul 14, 2025 Accepting new patients
JFK Memorial Hospital, Inc. Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
Eisenhower Medical Center Past Accepting new patients

Locations

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462

231 W Fir Ave
Clovis, CA 93611
Phone (559) 297-0300

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

250 S 12th Ave
Hanford, CA 93230
Phone (559) 295-2450

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

11360 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-3300

3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700

3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903

27168 Newport Rd
Ste B
Menifee, CA 92584
Phone (951) 566-5725

25395 Hancock Ave
#1101112
Murrieta, CA 92562
Phone (951) 696-4230

3909 Waring Rd
Ste Bc
Oceanside, CA 92056
Phone (760) 630-0014

72855 Fred Waring Dr
Palm Desert, CA 92260
Phone (760) 837-1420

2601 E Tahquitz Canyon Way
Palm Springs, CA 92262
Phone (760) 318-2980

1100 N Palm Canyon Dr
Ste 107
Palm Springs, CA 92262
Phone (760) 322-3166

39000 Bob Hope Dr
Ste K108
Rancho Mirage, CA 92270
Phone (760) 568-3461

2950 Sycamore Dr
Ste 102
Simi Valley, CA 93065
Phone (805) 357-0067

300 Lombard St
Thousand Oaks, CA 91360
Phone (805) 495-1220

57840 29 Palms Hwy
Yucca Valley, CA 92284
Phone (760) 228-1047

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1073705778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71780 SAN JACINTO DR BLDG I",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922705516",
            "telephone_number": "760-568-3461",
            "fax_number": "760-423-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71780 SAN JACINTO DR BLDG I",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922705516",
            "telephone_number": "760-568-3461",
            "fax_number": "760-423-6273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "SON HA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A92691",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A92691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "desertveinspecialists@808.direct.myezyaccess.com",
            "affiliation": "N",
            "address_1": "71780 San Jacinto Dr Bldg I",
            "city": "Rancho Mirage",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922705516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.