Organization Active NPI

Jenny Yu, DPM, Inc.

  • Foot & Ankle Surgery Podiatrist
  • San Leandro, CA
National Provider Identifier
1154732303
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5086 Issued in CA
Legal business name
JENNY YU, DPM, INC.
Practice address
13690 E 14TH St
Suite 220
San Leandro, CA 94578-2582
Phone
(510) 614-5663
Fax
(510) 614-2286
NPI assigned
May 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Authorized official

Name
Dr. Jenny Yu, DPM, MPHNPI 1861827537
Title
Podiatrist/Owner
Phone
(510) 614-5633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E5086 CA Primary

Addresses

Primary practice location

13690 E 14TH St
Suite 220
San Leandro, CA 94578-2582

Mailing address

13690 E 14TH St
Suite 220
San Leandro, CA 94578-2582
Phone (510) 614-5663

Other names 1

  • Bay Area Podiatry Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140929001961 CA Part B Supplier - Clinic/Group Practice 5698995470 Receives reassigned benefits from 2 practitioners
Practice locations: Orinda, CA; San Leandro, CA
O20141021002394 CA DME Supplier - Physician - Podiatry 5698995470 Practice locations: San Leandro, CA

National Provider Directory

National Provider Directory

Locations

13690 E 14th St
Ste 220
San Leandro, CA 94578
Phone (510) 614-5633

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1154732303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13690 E 14TH ST",
            "address_2": "SUITE 220",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782582",
            "telephone_number": "510-614-5663",
            "fax_number": "510-614-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13690 E 14TH ST",
            "address_2": "SUITE 220",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782582",
            "telephone_number": "510-614-5663",
            "fax_number": "510-614-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY YU, DPM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-09",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "510-614-5633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM, MPH"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Area Podiatry Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.