Individual provider Active NPI

Chalee Yimyam, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • San Diego, CA
National Provider Identifier
1144756677
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5976 Issued in CA
Practice address
34800 Bob Wilson Dr
San Diego, CA 92134-2205
Phone
(619) 524-1707
NPI assigned
May 3, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 5976 CA
Foot & Ankle Surgery Podiatrist 213ES0103X PO3948 FL
Foot & Ankle Surgery Podiatrist 213ES0103X 11694035-0501 UT
Student in an Organized Health Care Education/Training Program 390200000X E5976 CA
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 5976 CA Primary

Addresses

Primary practice location

34800 Bob Wilson Dr
San Diego, CA 92134-2205

Mailing address

330 13TH St Apt 2207
San Diego, CA 92101-4762
Phone (253) 600-7330

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230809004128 CA Practitioner - Podiatry 1557694395 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5976CAMDCase Manager/Care Coordinator
PO3948FLMDFoot & Ankle Surgery Podiatrist
11694035-0501UTMDFoot & Ankle Surgery Podiatrist
E5976CAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco Single Specialty CurrentSince Jul 27, 2023 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 27, 2023 Accepting new patients
University of California SFGH Medical Group Single Specialty CurrentSince Sep 1, 2023 Accepting new patients
UCSF Dept of Surgery Single Specialty CurrentSince Jul 27, 2023 Accepting new patients
University of California SFGH Medical Group Single Specialty CurrentSince Sep 1, 2023 Accepting new patients
University of California San Francisco CurrentSince Jul 27, 2023 Accepting new patients
UCSF Medical Group Business Services Single Specialty CurrentSince Jul 27, 2023 Accepting new patients

Locations

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

513 Parnassus Ave
#S321
San Francisco, CA 94143
Phone (415) 476-1239

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

1001 Potrero Ave
Bldg 53RD
San Francisco, CA 94110
Phone (628) 206-8265

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

Interoperability endpoints

  • Direct secure messaging: cyimyam300151@direct-ucsfmedicalcenter.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1144756677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 13TH ST APT 2207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921014762",
            "telephone_number": "253-600-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921342205",
            "telephone_number": "619-524-1707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIMYAM",
        "first_name": "CHALEE",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "5976",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3948",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "UT",
            "license": "11694035-0501",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "E5976",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "5976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.