Active NPI
Ivy Yu, PHARMD
- Pharmacist
- Palo Alto, CA
National Provider Identifier
1376159418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 83325
- Practice address
- 2811 Middlefield Rd
Palo Alto, CA 94306-2522 - Phone
- (650) 321-8400
- NPI assigned
- Sep 22, 2020
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 83325 | CA | Primary |
Addresses
Primary practice location
2811 Middlefield Rd
Palo Alto, CA 94306-2522
Mailing address
476 Santa Barbara Ave
Daly City, CA 94014-3822
Other practice location 1
1071 El Camino Real
Redwood City, CA 94063-1689
Phone (650) 306-1902
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)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83325 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1376159418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "476 SANTA BARBARA AVE",
"city": "DALY CITY",
"state": "CA",
"postal_code": "940143822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 MIDDLEFIELD RD",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943062522",
"telephone_number": "650-321-8400"
}
],
"practiceLocations": [
{
"address_1": "1071 El Camino Real",
"address_purpose": "LOCATION",
"city": "Redwood City",
"state": "CA",
"postal_code": "940631689",
"country_code": "US",
"telephone_number": "650-306-1902",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YU",
"first_name": "IVY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-22",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "83325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.