Individual provider Active NPI

Ruben Yu

  • Psychiatric/Mental Health Nurse Practitioner
  • Gardena, CA
National Provider Identifier
1205289337
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95004088 Issued in CA
Practice address
1225 W 190TH St Ste 280
Gardena, CA 90248-4305
Phone
(408) 607-1505
NPI assigned
Jul 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95004088 CA Primary
Registered Nurse 163W00000X 716188 CA
Family Nurse Practitioner 363LF0000X 95004088 CA

Addresses

Primary practice location

1225 W 190TH St Ste 280
Gardena, CA 90248-4305

Mailing address

2440 Professional Dr
Roseville, CA 95661-7773
Phone (408) 607-1505

Other names 1

  • Ruben Yu Professional name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230613001679 CA Practitioner - Nurse Practitioner 4385001932 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shasta Regional Medical Group IncGroup PAC ID 5991861353, 32 clinicians

Practice addresses (Care Compare)

1100 Butte St
Redding, CA 96001-0852
Phone (530) 605-4260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
716188CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hisham Soliman MD Inc CurrentSince Aug 15, 2023 Accepting new patients
Memory Check Psychological Services, a Professional Corporation Psychiatric/Mental Health CurrentSince May 6, 2024 Accepting new patients
Community Health Centers of America CurrentSince Dec 11, 2024 Accepting new patients
Community Health Centers of America CurrentSince Dec 11, 2024 Accepting new patients
Ehab Yacoub MD Inc. CurrentSince Jun 5, 2023 Accepting new patients
Inner Symmetry Nursing Corporation Psychiatric/Mental Health CurrentSince Jan 7, 2026 Accepting new patients
Shasta Regional Medical Group, Inc CurrentSince Apr 1, 2025 Accepting new patients
Orna Gil MD Inc Current Accepting new patients
Shasta Regional Medical Group Inc CurrentSince Apr 1, 2025 Accepting new patients
Optimum Medical Supply Corporation PastSince Jul 10, 2022 Accepting new patients
H Soliman Medical Corporation Psychiatric/Mental Health PastSince Nov 1, 2020 Accepting new patients

Locations

1101 Maidu Dr
Auburn, CA 95603
Phone (877) 272-5818

5838 Edison Pl
Ste 100
Carlsbad, CA 92008
Phone (760) 300-3664

1902 Wright Pl
Fl 2
Carlsbad, CA 92008
Phone (929) 468-2465

101 N Front St
Ste B
Chowchilla, CA 93610
Phone (559) 201-9181

15720 Ventura Blvd
Ste 210
Encino, CA 91436
Phone (818) 515-8097

510 Plaza Dr
Ste 170
Folsom, CA 95630
Phone (877) 272-5818

1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113

554 5th St
Gustine, CA 95322
Phone (209) 391-8854

517 Main St
#A
Livingston, CA 95334
Phone (209) 445-2388

5320 State Highway 49 N
Ste 13
Mariposa, CA 95338
Phone (209) 966-2344

733 3rd St
Mc Farland, CA 93250
Phone (661) 792-3097

17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929

1801 W Olympic Blvd
#1640
Pasadena, CA 91199

1355 East St
Ste 200
Redding, CA 96001
Phone (530) 229-2940

1100 Butte St
Redding, CA 96001
Phone (530) 227-6361

2440 Professional Dr
Roseville, CA 95661
Phone (916) 781-3050

2440 Professional Dr
Ste 1
Roseville, CA 95661

2386 Fair Oaks Blvd
Sacramento, CA 95825
Phone (916) 565-1989

348 Iris Dr
Salinas, CA 93906
Phone (831) 449-5496

3200 4th Ave
Ste 200
San Diego, CA 92103
Phone (858) 283-2391

550 Bryant St
San Francisco, CA 94107

1040 Park Ave
Ste 200A
San Jose, CA 95126

523 4th St
Ste 216
San Rafael, CA 94901

7447 Sepulveda Blvd
Van Nuys, CA 91405
Phone (818) 787-3400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABEFCA

Organizations & group practices 11

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": "1468368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1205289337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 PROFESSIONAL DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956617773",
            "telephone_number": "408-607-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W 190TH ST STE 280",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902484305",
            "telephone_number": "408-607-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "RUBEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-13",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95004088",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "716188",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004088",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUBEN",
            "last_name": "YU",
            "credential": "PMHNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gardena, CA

Sources for this page

Verify at the official NPI Registry.