Active NPI
Raymond Shuen-Yi Yen, M.D.
- Cardiovascular Disease Physician
- Pasadena, CA
National Provider Identifier
1366493033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G61728
- Practice address
- 55 E California Blvd
Third Floor
Pasadena, CA 91105-3954 - Phone
- (626) 793-1227
- Fax
- (626) 793-3794
- NPI assigned
- May 15, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G61728 | CA | Primary |
Addresses
Primary practice location
55 E California Blvd
Third Floor
Pasadena, CA 91105-3954
Mailing address
55 E California Blvd
Third Floor
Pasadena, CA 91105-3954
Phone (626) 793-1227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G617280 | Medicaid | CA |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G61728 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emanate Health Foothill Presbyterian Hospital | Past | Accepting new patients |
Interoperability endpoints
- raymondyen@schs.allscriptsdirect.net
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Glendora, CA
- NPI 1992733513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398729600000",
"number": "1366493033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 E CALIFORNIA BLVD",
"address_2": "THIRD FLOOR",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053954",
"telephone_number": "626-793-1227",
"fax_number": "626-793-3794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 E CALIFORNIA BLVD",
"address_2": "THIRD FLOOR",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053954",
"telephone_number": "626-793-1227",
"fax_number": "626-793-3794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEN",
"first_name": "RAYMOND",
"middle_name": "SHUEN-YI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2014-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G61728",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G617280",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.