Active NPI
Zhenghong Yuan MD Inc
- Primary Care Clinic/Center
- San Gabriel, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- A111673
- Legal business name
- ZHENGHONG YUAN MD INC
- Practice address
- 360 E Las Tunas Dr Ste 201
San Gabriel, CA 91776-1502 - Phone
- (626) 289-9978
- Fax
- (626) 289-3978
- NPI assigned
- Sep 14, 2010
- Last updated
- Apr 9, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Zhenghong Yuan
- Title
- President
- Phone
- (626) 289-9978
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Surgical Family Planning Clinic/Center | 261QF0050X | A111673 | CA | |
| Physical Therapy Clinic/Center | 261QP2000X | A111673 | CA | |
| Primary Care Clinic/Center | 261QP2300X | A111673 | CA | Primary |
| Pain Clinic/Center | 261QP3300X | A111673 | CA | |
| Urgent Care Clinic/Center | 261QU0200X | A111673 | CA |
Addresses
Primary practice location
360 E Las Tunas Dr Ste 201
San Gabriel, CA 91776-1502
Mailing address
360 E Las Tunas Dr Ste 201
San Gabriel, CA 91776-1502
Phone (626) 289-9978
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DL329A | Other | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
360 E Las Tunas Dr
Ste 201
San Gabriel, CA 91776
Phone (626) 289-9978
416 W Las Tunas Dr
Ste 303
San Gabriel, CA 91776
Phone (626) 299-7100
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- San Gabriel, CA
- NPI 1689865065
-
- Medical Oncology Physician
- Monterey Park, CA
- NPI 1427123488
-
- Internal Medicine Physician
- San Gabriel, CA
- NPI 1548335516
-
- Internal Medicine Physician
- San Gabriel, CA
- NPI 1740338151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554768000000",
"number": "1427366251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 E LAS TUNAS DR STE 201",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761502",
"telephone_number": "626-289-9978",
"fax_number": "626-289-3978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 E LAS TUNAS DR STE 201",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761502",
"telephone_number": "626-289-9978",
"fax_number": "626-289-3978"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZHENGHONG YUAN MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-14",
"last_updated": "2019-04-09",
"status": "A",
"authorized_official_last_name": "YUAN",
"authorized_official_first_name": "ZHENGHONG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-289-9978"
},
"taxonomies": [
{
"code": "261QF0050X",
"taxonomy_group": "",
"desc": "Clinic/Center, Family Planning, Non-Surgical",
"state": "CA",
"license": "A111673",
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "CA",
"license": "A111673",
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "CA",
"license": "A111673",
"primary": true
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": "CA",
"license": "A111673",
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "CA",
"license": "A111673",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "DL329A",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.