Organization Active NPI

Greg Shih-Han Yen Medical Corp

  • Cardiovascular Disease Physician
  • Alhambra, CA
National Provider Identifier
1265864185
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A61210 Issued in CA
Legal business name
GREG SHIH-HAN YEN MEDICAL CORP
Practice address
1522 S Garfield Ave
Ste a
Alhambra, CA 91801-5070
Phone
(626) 576-8500
Fax
(626) 576-8050
NPI assigned
Aug 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Authorized official

Name
Dr. Greg Shih-Han Yen, M.D.NPI 1093739021
Title
Ceo
Phone
(626) 576-8500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A61210 CA
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X A61210 CA Primary

Addresses

Primary practice location

1522 S Garfield Ave
Ste a
Alhambra, CA 91801-5070

Mailing address

1522 S Garfield Ave
Ste a
Alhambra, CA 91801-5070
Phone (626) 576-8500

Other identifiers 1

IdentifierTypeStateIssuer
00A612100MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140318001718 CA Part B Supplier - Clinic/Group Practice 1355572298 Receives reassigned benefits from 1 practitioner
Practice locations: Alhambra, CA; San Gabriel, CA

National Provider Directory

National Provider Directory

Locations

1522 S Garfield Ave
Ste A
Alhambra, CA 91801
Phone (626) 576-8500

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375315200000",
    "number": "1265864185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 S GARFIELD AVE",
            "address_2": "STE A",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918015070",
            "telephone_number": "626-576-8500",
            "fax_number": "626-576-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 S GARFIELD AVE",
            "address_2": "STE A",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918015070",
            "telephone_number": "626-576-8500",
            "fax_number": "626-576-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG SHIH-HAN YEN MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2013-08-01",
        "status": "A",
        "authorized_official_last_name": "YEN",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "SHIH-HAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-576-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A61210",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A61210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A612100",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.