Individual provider Active NPI

Jekwon Yeh, MD

  • Radiation Oncology Physician
  • Glendale, CA
National Provider Identifier
1417278201
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A1108212 Issued in CA
Practice address
381 Merrill Ave
Glendale, CA 91206-4178
Phone
(818) 409-8198
Fax
(818) 956-7602
NPI assigned
Jun 16, 2010
Last updated
Apr 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X A1108212 CA Primary

Addresses

Primary practice location

381 Merrill Ave
Glendale, CA 91206-4178

Mailing address

381 Merrill Ave
Glendale, CA 91206-4178
Phone (818) 409-8198

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110114000185 CA Practitioner - Radiation Oncology 8426247909 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Boston University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1500 E Chevy Chase Dr
Suite 201
Glendale, CA 91206-4199
Phone (818) 863-4099

1509 Wilson Ter
Glendale, CA 91206-4007
Phone (818) 409-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.8 of 100Reported as group
Quality
78.51
Promoting interoperability
100
Improvement activities
40
Cost
70.37

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
78.77
Promoting interoperability
92
Improvement activities
40
Cost
48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A1108212CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Dec 30, 2023 Accepting new patients
County of Los Angeles Auditor Controller CurrentSince Jun 1, 2019 Accepting new patients
County of Los Angeles CurrentSince Jun 1, 2019 Accepting new patients
Glendale Adventist Medical Center CurrentSince Dec 5, 2023 Accepting new patients
Kern County Hospital Authority CurrentSince Feb 7, 2018 Accepting new patients
Kern County Hospital Authority CurrentSince Feb 7, 2018 Accepting new patients
Albert C Mak MD Inc Radiation Oncology CurrentSince Apr 28, 2024 Accepting new patients
Glendale Adventist Medical Center CurrentSince Dec 5, 2023 Accepting new patients
County of Los Angeles Current Accepting new patients
City of Hope Medical Foundation Radiation Oncology CurrentSince Feb 1, 2019 Accepting new patients
Adventist Health Physicians Network CurrentSince Dec 30, 2023 Accepting new patients

Locations

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

1500 E Chevy Chase Dr
Ste 201
Glendale, CA 91206
Phone (818) 863-4099

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

381 Merrill Ave
Glendale, CA 91206
Phone (818) 409-8198

720 E Colorado St
Glendale, CA 91205
Phone (818) 500-5885

6939 Palm Ct
Riverside, CA 92506
Phone (760) 416-4832

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 12

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 1

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": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1417278201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 MERRILL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064178",
            "telephone_number": "818-409-8198",
            "fax_number": "818-956-7602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 MERRILL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064178",
            "telephone_number": "818-409-8198",
            "fax_number": "818-956-7602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEH",
        "first_name": "JEKWON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-16",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A1108212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.