Organization Active NPI

Zhenghong Yuan MD Inc

  • Primary Care Clinic/Center
  • San Gabriel, CA
National Provider Identifier
1427366251
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A111673 Issued in CA
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Authorized official

Name
Zhenghong YuanNPI 1689865065
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DL329AOtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100921000543 CA Part B Supplier - Clinic/Group Practice 6204951759 Receives reassigned benefits from 1 practitioner
Practice locations: San Gabriel, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.