Active NPI
Chalee Yimyam, D.P.M
- Foot & Ankle Surgery Podiatrist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 5976
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Podiatrist | 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5976 | CA | MD | Case Manager/Care Coordinator |
| PO3948 | FL | MD | Foot & Ankle Surgery Podiatrist |
| 11694035-0501 | UT | MD | Foot & Ankle Surgery Podiatrist |
| E5976 | CA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California San Francisco | Single Specialty | Current | Accepting new patients |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California SFGH Medical Group | Single Specialty | Current | Accepting new patients |
| UCSF Dept of Surgery | Single Specialty | Current | Accepting new patients |
| University of California SFGH Medical Group | Single Specialty | Current | Accepting new patients |
| University of California San Francisco | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Single Specialty | Current | 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
- 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.
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Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.