Active NPI
Benjamin Yu, DPT
- Physical Therapist
- Los Angeles, CA
National Provider Identifier
1396305884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT297015
- Practice address
- 1640 Marengo Street Hra 102
Los Angeles, CA 90089-3603 - Phone
- (323) 865-1200
- NPI assigned
- Jun 17, 2019
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT297015 | CA | Primary |
Addresses
Primary practice location
1640 Marengo Street Hra 102
Los Angeles, CA 90089-3603
Mailing address
PO Box 31309
Los Angeles, CA 90031-0309
Phone (213) 740-0125
Other practice location 1
1031 W 34th St Ste 450
Los Angeles, CA 90089-3603
Phone (213) 740-0215
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | benjamin.yu@direct.usc.edu | Direct | USC CARE MEDICAL GROUP, INC |
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 |
|---|---|---|---|
| PT297015 | CA | MD | Physical Therapist |
Interoperability endpoints
- benjamin.yu@direct.usc.edu
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1396305884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31309",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900310309",
"telephone_number": "213-740-0125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 MARENGO STREET HRA 102",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900893603",
"telephone_number": "323-865-1200"
}
],
"practiceLocations": [
{
"address_1": "1031 W 34th St Ste 450",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900893603",
"country_code": "US",
"telephone_number": "213-740-0215",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YU",
"first_name": "BENJAMIN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-17",
"last_updated": "2023-11-27",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT297015",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "benjamin.yu@direct.usc.edu",
"affiliation": "Y",
"affiliationName": "USC CARE MEDICAL GROUP, INC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1031 W 34th St Ste 450",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900893603",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.