Individual provider Active NPI

Edward Stephen Yung, M.D.

  • Ophthalmology Physician
  • Upland, CA
National Provider Identifier
1225391725
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A146756 Issued in CA
Practice address
555 N 13TH Ave
Upland, CA 91786-4904
Phone
(909) 982-8846
NPI assigned
Jun 19, 2012
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Ophthalmology Physician 207W00000X MD457613 PA
Ophthalmology Physician 207W00000X A146756 CA Primary

Addresses

Primary practice location

555 N 13TH Ave
Upland, CA 91786-4904

Mailing address

840 Walnut St
Philadelphia, PA 19107-5109

Other practice location 1

840 Walnut St
Philadelphia, PA 19107-5109
Phone (626) 379-1108

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
I20170804000650 CA Practitioner - Ophthalmology 0941590061 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Temple University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

555 N 13TH Ave
Upland, CA 91786-4904
Phone (909) 982-8846

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
76.08
Promoting interoperability
72
Improvement activities
40
Cost
75.13

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery174

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A146756CAMDOphthalmology Physician
MD457613PAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Eye Institute, a Medical Group, Inc. Ophthalmology CurrentSince Jul 1, 2017 Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients

Locations

15099 Kamana Rd
Apple Valley, CA 92307

500 E Mountain View St
Barstow, CA 92311
Phone (460) 256-1026

930 W Main St
Barstow, CA 92311
Phone 7602561004306

1900 E Washington St
Colton, CA 92324
Phone (909) 825-3425

12442 Limonite Ave
Unit 200
Eastvale, CA 91752
Phone (951) 737-4000

11959 Mariposa Rd
Hesperia, CA 92345
Phone (760) 956-1100

8112 Milliken Ave
Ste 203
Rancho Cucamonga, CA 91730
Phone (909) 945-3563

9481 Haven Ave
Ste 200
Rancho Cucamonga, CA 91730
Phone (909) 937-9230

41877 Enterprise Cir N
Ste 110
Temecula, CA 92590
Phone (951) 296-2244

555 N 13th Ave
Upland, CA 91786
Phone (909) 982-8846

591 N 13th Ave
Upland, CA 91786
Phone (909) 946-5320

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1225391725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 WALNUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N 13TH AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864904",
            "telephone_number": "909-982-8846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191075109",
            "country_code": "US",
            "telephone_number": "626-379-1108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUNG",
        "first_name": "EDWARD",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD457613",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A146756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.