Marjorie Meiji Yong, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A61406 Issued in CA

Practice address

5400 Balboa Blvd Ste 212
Encino, CA 91316-5209

Phone

(818) 789-0203

Fax

(818) 789-0208

NPI assigned

Aug 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Medical College of Georgia School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Yong at Heart Total Wellness Medical Corporation

  • Clinic/Center
  • Encino, CA
  • NPI 1669581393
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1417062167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16628 OAK VIEW CT",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914361900",
            "telephone_number": "310-989-1892",
            "fax_number": "818-789-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 BALBOA BLVD STE 212",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165209",
            "telephone_number": "818-789-0203",
            "fax_number": "818-789-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YONG",
        "first_name": "MARJORIE",
        "middle_name": "MEIJI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A61406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "0007134338",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID #",
            "identifier": "11431045",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN/FIRST HEALTH",
            "identifier": "5596075",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER ID #",
            "identifier": "00A614060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrian Y Yi, MD
• Guadalupe Yocupicio, COTA/L
• Yofi Ketamine Clinic Inc
• Yofi Mind Health Inc
• Yong at Heart Total Wellness Medical Corporation
• Cindy S Yoon, OTR/L
• Emilin Youlesi Vensan, PHARM. D
• Soheil Sean Younai, M.D.
• Ramee Younes, M.D.
• Madison Younesi, NP

• Family Medicine Physician in Encino, CA
• Providers in Encino, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.