Individual provider Active NPI

Jack N Yu, MD

  • Family Medicine Physician
  • Glendale, CA
National Provider Identifier
1265485684
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G55744 Issued in CA
Practice address
544 N Glendale Ave Ste B
Glendale, CA 91206-3311
Phone
(747) 212-3441
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X G55744 CA
Geriatric Medicine (Family Medicine) Physician 207QG0300X G55744 CA
Internal Medicine Physician 207R00000X G55744 CA
Family Medicine Physician 207Q00000X G55744 CA Primary

Addresses

Primary practice location

544 N Glendale Ave Ste B
Glendale, CA 91206-3311

Mailing address

2100 Powell St Ste 400
Emeryville, CA 94608-1826
Phone (510) 350-2600

Other practice location 1

1975 Verdugo Blvd Ste A
LA Canada Flintridge, CA 91011-3024
Phone (747) 212-3441

Other identifiers 1

IdentifierTypeStateIssuer
00G557440MedicaidCA

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
I20100816000605 CA Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Geriatric Medicine 5092849885 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine, Internal Medicine
Education
Boston University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventist Health Physicians NetworkGroup PAC ID 3274580972, 628 clinicians

Practice addresses (Care Compare)

1560 E Chevy Chase Dr
Suite 355
Glendale, CA 91206-4159
Phone (747) 212-3441

2750 Sycamore Dr
Simi Valley, CA 93065-1500

Hospital & facility affiliations

  • Adventist Health Home Care Services Home health agency, Simi Valley, CA, CCN 057537
  • True Care Home Health Agency, Inc Home health agency, Duarte, CA, CCN 058298
  • Alaunus Home Health, Inc Home health agency, Pasadena, CA, CCN 757737
  • Gibraltar Hospice, Inc Hospice, Woodland Hills, CA, CCN 751552
  • Glendale Adventist Medical Center Hospital, Glendale, CA, CCN 050239
  • Solheim Senior Community Nursing home, Los Angeles, CA, CCN 555432
  • Ararat Post Acute Nursing home, Glendale, CA, CCN 555616
  • Autumn Hills Health Care Center Nursing home, Glendale, CA, CCN 055288
  • Glendale Adventist Medical Center DP/SNF Nursing home, Glendale, CA, CCN 555911

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G55744CAMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Family Medicine Current Accepting new patients
Asian Pacific Health Care Venture, Inc. Current Accepting new patients
Asian Pacific Health Care Venture, Inc. CurrentSince Jul 14, 2018 Accepting new patients
Adventist Health Physicians Network CurrentSince Apr 1, 2025 Accepting new patients
Adventist Health Physicians Network CurrentSince Apr 1, 2025 Accepting new patients
Cedars-Sinai Medical Center PastSince Apr 1, 2020 Accepting new patients
Atlantic Cove Medical Group Family Medicine Past Accepting new patients

Locations

9960 Baldwin Pl
El Monte, CA 91731
Phone (626) 774-2988

1560 E Chevy Chase Dr
Ste 355
Glendale, CA 91206
Phone (747) 212-3441

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1975 Verdugo Blvd
Ste A
La Canada Flintridge, CA 91011
Phone (747) 212-3441

1530 Hillhurst Ave
Los Angeles, CA 90027
Phone (323) 644-3880

4216 Fountain Ave
Los Angeles, CA 90029
Phone (323) 644-3880

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1265485684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 POWELL ST STE 400",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081826",
            "telephone_number": "510-350-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 N GLENDALE AVE STE B",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912063311",
            "telephone_number": "747-212-3441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1975 Verdugo Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "LA Canada Flintridge",
            "state": "CA",
            "postal_code": "910113024",
            "country_code": "US",
            "telephone_number": "747-212-3441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YU",
        "first_name": "JACK",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "G55744",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "G55744",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G55744",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G55744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G557440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.