Organization Active NPI

Jeffrey C Yung, MD a Medical Corporation

  • Pain Clinic/Center
  • San Francisco, CA
National Provider Identifier
1336553098
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
A69799 Issued in CA
Legal business name
JEFFREY C YUNG, MD A MEDICAL CORPORATION
Practice address
909 Hyde St Ste 210
San Francisco, CA 94109-4845
Phone
(415) 292-3313
NPI assigned
Jun 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Authorized official

Name
Jeffrey YungNPI 1932234929
Title
President/Staff Physician
Phone
(415) 259-5492

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X A69799 CA Primary

Addresses

Primary practice location

909 Hyde St Ste 210
San Francisco, CA 94109-4845

Mailing address

909 Hyde St Ste 210
San Francisco, CA 94109-4845

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141008000762 CA Part B Supplier - Clinic/Group Practice 4981824216 Receives reassigned benefits from 1 practitioner
Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Locations

2300 Sutter St
Ste 304
San Francisco, CA 94115
Phone (415) 563-2233

Practitioners & affiliated clinicians

Practitioners 1

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": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403222400000",
    "number": "1336553098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 HYDE ST STE 210",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 HYDE ST STE 210",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094845",
            "telephone_number": "415-292-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY C YUNG, MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-20",
        "status": "A",
        "authorized_official_last_name": "YUNG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT/STAFF PHYSICIAN",
        "authorized_official_telephone_number": "415-259-5492"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CA",
            "license": "A69799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2014; 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.