Individual provider Active NPI

Jian N. Ye, M.D.

  • Dermatology Physician
  • Monterey Park, CA
National Provider Identifier
1265458228
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A063361 Issued in CA
Practice address
500 N Garfield Ave
Suite 110a
Monterey Park, CA 91754-1242
Phone
(626) 288-4840
Fax
(626) 288-4820
NPI assigned
Jul 14, 2006
Last updated
Mar 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A063361 CA Primary

Addresses

Primary practice location

500 N Garfield Ave
Suite 110a
Monterey Park, CA 91754-1242

Mailing address

500 N Garfield Ave
Suite 110a
Monterey Park, CA 91754-1242
Phone (626) 288-4840

Other identifiers 2

IdentifierTypeStateIssuer
00A633610OtherCABLUE SHIELD
00A633610MedicaidCA

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
I20090819000887 CA Practitioner - DermatologyPractitioner - Internal Medicine 4385798784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

500 N Garfield Ave
Suite 110a
Monterey Park, CA 91754-1200
Phone (626) 288-4840

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1438
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A063361CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Medical Clinic, Inc. Dermatology CurrentSince Mar 1, 2000 Accepting new patients
Ahmc Garfield Medical Center LP PastSince Feb 10, 2001 Accepting new patients

Locations

500 N Garfield Ave
Ste 110A
Monterey Park, CA 91754
Phone (626) 282-4840

500 N Garfield Ave
Ste 306
Monterey Park, CA 91754
Phone (626) 572-0660

Organizations & group practices 2

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1265458228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N GARFIELD AVE",
            "address_2": "SUITE 110A",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541242",
            "telephone_number": "626-288-4840",
            "fax_number": "626-288-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N GARFIELD AVE",
            "address_2": "SUITE 110A",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541242",
            "telephone_number": "626-288-4840",
            "fax_number": "626-288-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YE",
        "first_name": "JIAN",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A063361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A633610",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A633610",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.