NPIMap

Individual provider Active NPI

Lydia Yun

  • Foot & Ankle Surgery Podiatrist
  • Los Gatos, CA
National Provider Identifier
1407201395
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1407201395 Issued in CA
Practice address
14651 S Bascom Ave Ste 215
Los Gatos, CA 95032-2045
Phone
(408) 358-2250
NPI assigned
Apr 28, 2016
Last updated
Sep 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1407201395 CA Primary

Addresses

Primary practice location

14651 S Bascom Ave Ste 215
Los Gatos, CA 95032-2045

Mailing address

14651 S Bascom Ave Ste 215
Los Gatos, CA 95032-2045

Other practice location 1

1761 W Romneya Dr Ste K
Anaheim, CA 92801-1816
Phone (714) 502-6990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191009002515 CA Practitioner - Podiatry 9436480266 Reassigns benefits to 6 organizations
Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medamerica Physician Solutions PCGroup PAC ID 8729221809, 28 clinicians
Sun Healthcare and Surgery Group IncGroup PAC ID 8022390491, 6 clinicians
Cep America - Auc PCGroup PAC ID 9537481692, 26 clinicians

Practice addresses (Care Compare)

112 La Casa Via
Suite 135
Walnut Creek, CA 94598-3023
Phone (925) 471-4291

16 E Fern Ave
Suite B
Redlands, CA 92373-4000
Phone (909) 435-4852

1815 Arnold Dr
Martinez, CA 94553-4219
Phone (925) 979-8313

240 La Casa Via
Suite 200
Walnut Creek, CA 94598-4866
Phone (925) 945-6644

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Melanoma (skin cancer) excision1-10
Removal of tissue440
Removal of skin lesions1-10
Removal of nail tissue121
Removal or shaving of skin growth122
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1407201395CAMDFoot & Ankle Surgery Podiatrist
5595CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Auc PC Current Accepting new patients
Sun Healthcare and Surgery Group Inc Foot & Ankle Surgery CurrentSince Jul 30, 2022 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Cep America - Auc PC CurrentSince Dec 2, 2024 Accepting new patients
Cep America - Auc PC CurrentSince Dec 2, 2024 Accepting new patients
John Muir Trauma Physicians Billing Service CurrentSince Nov 22, 2022 Accepting new patients
Los Gatos Podiatry Group, Inc. Foot & Ankle Surgery CurrentSince Aug 10, 2019 Accepting new patients
Medamerica Physician Solutions PC CurrentSince Aug 19, 2025 Accepting new patients
Brockton Podiatry Group a Prof Corp Foot & Ankle Surgery PastSince Feb 9, 2009 Accepting new patients

Locations

14651 S Bascom Ave
Ste 215
Los Gatos, CA 95032
Phone (408) 358-2250

1815 Arnold Dr
Martinez, CA 94553
Phone (925) 705-4900

26732 Crown Valley Pkwy
Ste 585
Mission Viejo, CA 92691
Phone (949) 645-3333

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

16 E Fern Ave
Ste B
Redlands, CA 92373
Phone (909) 435-4852

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

112 La Casa Via
Ste 135
Walnut Creek, CA 94598
Phone (925) 378-4040

240 La Casa Via
Ste 200
Walnut Creek, CA 94598
Phone (925) 280-0800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: lyun562295@hisp.ehr.sutterhealth.org
  • Direct secure messaging: lydia.yun.1@20515.direct.athenahealth.com
  • Direct secure messaging: lyun150322@santaclaravalley.direct-ci.net

Organizations & group practices 10

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1407201395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14651 S BASCOM AVE STE 215",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14651 S BASCOM AVE STE 215",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322045",
            "telephone_number": "408-358-2250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1761 W Romneya Dr Ste K",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928011816",
            "country_code": "US",
            "telephone_number": "714-502-6990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUN",
        "first_name": "LYDIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "1407201395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.