Individual provider Active NPI

Yi Zhang, M.D.

  • Emergency Medicine Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1164466322
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A61239 Issued in CA
Practice address
6417 Haven Ave Ste 110
Rancho Cucamonga, CA 91737-3804
Phone
(909) 941-2273
Fax
(909) 477-8830
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A61239 CA Primary

Addresses

Primary practice location

6417 Haven Ave Ste 110
Rancho Cucamonga, CA 91737-3804

Mailing address

6417 Haven Ave Ste 110
Rancho Cucamonga, CA 91737-3804
Phone (909) 941-2273

Other identifiers 1

IdentifierTypeStateIssuer
00A612390MedicaidCA

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
I20040708001361 CA Practitioner - Emergency Medicine 7113905910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, Irvine, California College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Haven Elite Urgent CareGroup PAC ID 3072858554, 5 clinicians

Practice addresses (Care Compare)

6417 Haven Ave
Suite 110
Rancho Cucamonga, CA 91737-3804
Phone (909) 941-2273

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Elite Urgent Care CurrentSince Sep 1, 2018 Accepting new patients
Glendale Emergency Medical Associates, Inc Emergency Medicine Past Accepting new patients
Michael S. Agron, M.D., Inc. Emergency Medicine Past Accepting new patients
Montclair Emergency Medical Associates Emergency Medicine PastSince Mar 29, 2020 Accepting new patients

Locations

6417 Haven Ave
Ste 110
Rch Cucamonga, CA 91737
Phone (909) 941-2273

Organizations & group practices 4

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1164466322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6417 HAVEN AVE STE 110",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917373804",
            "telephone_number": "909-941-2273",
            "fax_number": "909-477-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6417 HAVEN AVE STE 110",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917373804",
            "telephone_number": "909-941-2273",
            "fax_number": "909-477-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHANG",
        "first_name": "YI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A61239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A612390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.