Individual provider Active NPI

Sze Kei Yeung, OD

  • Optometrist
  • Berkeley, CA
National Provider Identifier
1376206177
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35003 Issued in CA
Practice address
200 Minor Addition
Berkeley, CA 90025
Phone
(510) 642-2020
NPI assigned
Oct 19, 2021
Last updated
Aug 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35003 CA Primary

Addresses

Primary practice location

200 Minor Addition
Berkeley, CA 90025

Mailing address

308 Minor Hall
Berkeley, CA 94720-2021

Other identifiers 1

IdentifierTypeStateIssuer
1376206177MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211129001564 CA Practitioner - Optometry 5294125613 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of California at BerkeleyGroup PAC ID 8628083110, 57 clinicians

Practice addresses (Care Compare)

200 Minor Hall
Suite 384a
Berkeley, CA 94720-2020
Phone (510) 642-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35003CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pomona Community Health Center CurrentSince Jan 9, 2024 Accepting new patients
McCloud Healthcare Clinic, Inc. CurrentSince Jan 31, 2024 Accepting new patients
The Davis Street Community Center Incorporated CurrentSince May 10, 2023 Accepting new patients
Regents of the University of California at Berkeley Optometrist CurrentSince Oct 22, 2021 Accepting new patients
Pomona Community Health Center CurrentSince Jan 9, 2024 Accepting new patients
McCloud Healthcare Clinic, Inc. CurrentSince Jan 31, 2024 Accepting new patients
McCloud Healthcare Clinic, Inc. Past Accepting new patients

Locations

200 Minor Hall
Berkeley, CA 94720
Phone (510) 642-0945

200 Minor Hall
Ste 384A
Berkeley, CA 94720
Phone (510) 642-7844

1450 E Holt Ave
Pomona, CA 91767

3081 Teagarden St
San Leandro, CA 94577
Phone (510) 347-4620

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: celia.szekaiyeung.p3@direct.parktreechc.nextgenshare.com
  • Direct secure messaging: cyeung348947@direct-ucsfmedicalcenter.org
  • FHIR API: https://api.platform.athenahealth.com/9743/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CGBDAD
  • Direct secure messaging: sze.kei.yeung.1@25248.direct.athenahealth.com

Organizations & group practices 7

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": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1376206177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 MINOR HALL",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947202021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MINOR ADDITION",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "90025",
            "telephone_number": "510-642-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEUNG",
        "first_name": "SZE KEI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376206177",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.