Shirley Kim Yu, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

14089063 Issued in CA

Practice address

1325 N Anaheim Blvd Ste 100
Anaheim, CA 92801-1202

Phone

(657) 242-4381

NPI assigned

Jun 19, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Altamed Health Services Corp

  • PACE Provider Organization
  • Anaheim, CA
  • NPI 1710593660
  NPD

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1255016200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 TAYLOR LN",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928708426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N ANAHEIM BLVD STE 100",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011202",
            "telephone_number": "657-242-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "SHIRLEY",
        "middle_name": "KIM",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "14089063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaine J Yu, LCSW
• Jessie Yu, L.AC
• John Yu
• Luke C. Yu, MD
• Rachel Yu
• Sir Avilin Rivera Yu, OTR/L
• Tong-Shiang Yu, MD
• Ya-Mei T. Yu, MD
• Larissa Miyoko Yuan, PT
• Jillian Yudin, SLPA

• Speech-Language Pathologist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.