Individual provider Active NPI

Kathy Yu, M.D.

  • Pediatric Otolaryngology Physician
  • Huntington Beach, CA
National Provider Identifier
1255587762
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X
License
A109401 Issued in CA
Practice address
17742 Beach Blvd Ste 345
Huntington Beach, CA 92647-6872
Phone
(714) 375-4224
NPI assigned
Aug 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A109401 CA
Otolaryngology Physician 207Y00000X 241610 NY
Pediatric Otolaryngology Physician 207YP0228X A109401 CA Primary

Addresses

Primary practice location

17742 Beach Blvd Ste 345
Huntington Beach, CA 92647-6872

Mailing address

17742 Beach Blvd Ste 345
Huntington Beach, CA 92647-6872
Phone (714) 375-4224

Other names 1

  • Dr. Kathy Yu-Syken 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100903000790 CA Practitioner - Otolaryngology 5597889022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of California, Geffen School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians
Kathy Yu-Syken M D Inc a Medical CorporationGroup PAC ID 9133480429, 3 clinicians

Practice addresses (Care Compare)

1129 Weaver Dairy Rd
Suite N
Chapel Hill, NC 27514-1960
Phone (919) 968-5959

17742 Beach Blvd
Suite 345
Huntington Beach, CA 92647-6872
Phone (714) 375-4224

Merit-based Incentive Payment System (MIPS)

Final score
95.84 of 100Reported as individual
Quality
92.43
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A109401CAMDOtolaryngology Physician
241610NYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kathy Yu-Syken, MD Inc a Medical Corporation Pediatric Otolaryngology CurrentSince Mar 1, 2018 Accepting new patients

Locations

17742 Beach Blvd
Ste 345
Huntington Beach, CA 92647
Phone (714) 375-4224

17742 Beach Blvd
Ste 355
Huntington Beach, CA 92647
Phone (714) 596-0400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1255587762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17742 BEACH BLVD STE 345",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476872",
            "telephone_number": "714-375-4224",
            "fax_number": "714-375-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17742 BEACH BLVD STE 345",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476872",
            "telephone_number": "714-375-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "KATHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-15",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A109401",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "241610",
            "primary": false
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "CA",
            "license": "A109401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "YU-SYKEN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.