Active NPI
Yun Shih
- Nephrology Specialist/Technologist
- Upland, CA
National Provider Identifier
1295216570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Specialist/Technologist
- License
- 1071211
- Practice address
- 1317 W Foothill Blvd Ste 148
Upland, CA 91786-3675 - Phone
- (909) 981-5882
- Fax
- (909) 373-2828
- NPI assigned
- Aug 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Specialist/Technologist | 246ZN0300X | 1071211 | CA | Primary |
Addresses
Primary practice location
1317 W Foothill Blvd Ste 148
Upland, CA 91786-3675
Mailing address
923 Terrace LN W Unit 2
Diamond Bar, CA 91765-4569
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1071211 | CA | MD | Nephrology Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535068800000",
"number": "1295216570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "923 TERRACE LN W UNIT 2",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917654569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 W FOOTHILL BLVD STE 148",
"city": "UPLAND",
"state": "CA",
"postal_code": "917863675",
"telephone_number": "909-981-5882",
"fax_number": "909-373-2828"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIH",
"first_name": "YUN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-24",
"last_updated": "2018-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "246ZN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Nephrology",
"state": "CA",
"license": "1071211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.