Individual provider Active NPI

Yaniv Fenig, M.D.

  • Transplant Surgery Physician
  • San Bernardino, CA
National Provider Identifier
1083029839
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
C191859 Issued in CA
Practice address
197 E Caroline St
San Bernardino, CA 92408-3729
Phone
(800) 548-3790
NPI assigned
Jun 30, 2014
Last updated
Mar 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X 298122 NY
Transplant Surgery Physician 204F00000X C191859 CA Primary

Addresses

Primary practice location

197 E Caroline St
San Bernardino, CA 92408-3729

Mailing address

197 E Caroline St
San Bernardino, CA 92408-3729
Phone (800) 548-3790

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.downstate.edu/patient-care/find-treatment/treatment-centers/transplant-division/ Direct

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
I20240205002628 CA Practitioner - General Surgery 3678801891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11234 Anderson St
Loma Linda, CA 92354-2804

25845 Barton Rd
Suite F
Loma Linda, CA 92354-3899
Phone (909) 558-2828

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.87 of 100Reported as group
Quality
72.13
Promoting interoperability
80
Improvement activities
40
Cost
77.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C191859CAMDTransplant Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm CurrentSince Feb 1, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Feb 1, 2024 Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers Past Accepting new patients
Faculty Physicians and Surgeons of Llusm Transplant Surgery Past Accepting new patients
Loma Linda University Children's Hospital Past Accepting new patients
Loma Linda University Medical Center Past Accepting new patients

Locations

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

11370 Anderson St
Ste 2100
Loma Linda, CA 92354
Phone (909) 558-2600

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

25845 Barton Rd
Ste F
Loma Linda, CA 92354
Phone (909) 558-2828

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

26520 Cactus Ave
Ste 2021
Moreno Valley, CA 92555
Phone (951) 486-5700

28078 Baxter Rd
Murrieta, CA 92563
Phone (760) 533-4541

3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224

197 E Caroline St
San Bernardino, CA 92408
Phone (800) 548-3790

197 E Caroline St
Ste 1400
San Bernardino, CA 92408
Phone (909) 558-3668

44274 George Cushman Ct
Ste 208
Temecula, CA 92592
Phone (951) 501-4200

901 San Bernardino Rd
Ste 104
Upland, CA 91786
Phone (909) 542-2779

Interoperability endpoints

  • Direct secure messaging: yanivfenig@sunydmc.allscriptsdirect.net

Organizations & group practices 7

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.

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": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1083029839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 E CAROLINE ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083729",
            "telephone_number": "800-548-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 E CAROLINE ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083729",
            "telephone_number": "800-548-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENIG",
        "first_name": "YANIV",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-30",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "NY",
            "license": "298122",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "CA",
            "license": "C191859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.downstate.edu/patient-care/find-treatment/treatment-centers/transplant-division/",
            "affiliation": "N",
            "endpointDescription": "Department website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "450 Clarkson Ave",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112032012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.