Individual provider Active NPI

Yung Yim, MD

  • Pediatric Hematology & Oncology Physician
  • Sacramento, CA
National Provider Identifier
1083701007
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
A45128 Issued in CA
Practice address
5275 F Street
Sacramento, CA 95819
Phone
(209) 577-9900
Fax
(209) 577-1509
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X A45128 CA Primary

Addresses

Primary practice location

5275 F Street
Sacramento, CA 95819

Mailing address

PO Box 906
Salida, CA 95368
Phone (209) 577-9900

Other identifiers 1

IdentifierTypeStateIssuer
00A451280MedicaidCA

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
I20091207000064 CA Practitioner - Pediatric Medicine 8527107481 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, shared by 24 NPIs, 2,473 clinicians

Practice addresses (Care Compare)

1625 Stockton Blvd
Sacramento, CA 95816-7097
Phone (916) 262-9035

2800 L St
Sacramento, CA 95816-5616

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation CurrentSince Mar 1, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Mar 1, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Mar 1, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Mar 1, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Mar 1, 2025 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Northern Calif Childrens Hematology & Oncology Med GRP Inc Pediatric Hematology-Oncology Past Accepting new patients
University of California San Francisco Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

8200 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 544-5400

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

1625 Stockton Blvd
Ste 104
Sacramento, CA 95816
Phone (916) 268-9022

8011 Don Ave
Stockton, CA 95209
Phone (209) 955-3001

460 Plumas Blvd
Ste 202
Yuba City, CA 95991
Phone (530) 749-5500

Interoperability endpoints

  • Direct secure messaging: yyim12291@hisp.ehr.sutterhealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083701007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 906",
            "city": "SALIDA",
            "state": "CA",
            "postal_code": "95368",
            "telephone_number": "209-577-9900",
            "fax_number": "209-577-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 F STREET",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95819",
            "telephone_number": "209-577-9900",
            "fax_number": "209-577-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIM",
        "first_name": "YUNG",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "CA",
            "license": "A45128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A451280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.