Individual provider Active NPI

Jay Yeh, M.D.

  • Pediatric Cardiology Physician
  • Sacramento, CA
National Provider Identifier
1467614685
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
A97782 Issued in CA
Practice address
2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone
(916) 734-1411
NPI assigned
Jun 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A97782 CA
Pediatrics Physician 208000000X 4301093753 MI
Pediatric Cardiology Physician 2080P0202X 4301093753 MI
Pediatric Cardiology Physician 2080P0202X A97782 CA Primary

Addresses

Primary practice location

2315 Stockton Blvd
Sacramento, CA 95817-2201

Mailing address

2315 Stockton Blvd RM 1513
Sacramento, CA 95817-2201
Phone (916) 734-2456

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
I20130801000865 CA Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 2163670902 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of CaliforniaGroup PAC ID 8022922475, 562 clinicians
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

2440 W Covell Blvd
Davis, CA 95616-5671
Phone (530) 747-3000

643 W E Ave
Chico, CA 95926-7201
Phone (916) 734-3112

Hospital & facility affiliations

  • University of California Davis Medical Center Hospital, Sacramento, CA, CCN 050599

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Dec 1, 2017 Accepting new patients
Regents of the University of California Current Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Community Medical Centers Inc CurrentSince Apr 6, 2019 Accepting new patients
Community Medical Centers Inc CurrentSince Apr 6, 2019 Accepting new patients
Regents of the Univ of Ca Pediatric Cardiology CurrentSince Sep 1, 2013 Accepting new patients
Regents of the Univ of Ca CurrentSince Sep 1, 2013 Accepting new patients
Regents of the University of California Current Accepting new patients
Community Medical Centers, Inc. Current Accepting new patients
Regents of the University of California CurrentSince Dec 1, 2017 Accepting new patients
Essent PRMC LP Past Accepting new patients
Regents of the University of Michigan Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

3200 Bell Rd
Auburn, CA 95603
Phone (530) 886-7616

643 W East Ave
Chico, CA 95926
Phone (530) 342-0502

2440 W Covell Blvd
Davis, CA 95616
Phone (530) 668-2646

2660 W Covell Blvd
Davis, CA 95616
Phone (530) 747-3000

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

2261 Douglas Blvd
Roseville, CA 95661
Phone (916) 783-1044

1620 E Roseville Pkwy
Ste 200
Roseville, CA 95661
Phone (916) 771-0251

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

2315 Stockton Blvd
Ste 1501
Sacramento, CA 95817

2521 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-1104

2315 Stockton Blvd
Rm 1513
Sacramento, CA 95817

2521 Stockton Blvd
Ste 3200
Sacramento, CA 95817
Phone (916) 734-3112

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

7912 West Ln
Ste 221
Stockton, CA 95210
Phone (209) 546-3870

5757 Pacific Ave
Stockton, CA 95207
Phone (877) 736-6888

7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816

730 N Central Ave
Tracy, CA 95376
Phone (209) 820-1500

Organizations & group practices 14

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.

View all 14

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": "1214697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1467614685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 STOCKTON BLVD RM 1513",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172201",
            "telephone_number": "916-734-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 STOCKTON BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172201",
            "telephone_number": "916-734-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEH",
        "first_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-29",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A97782",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301093753",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "MI",
            "license": "4301093753",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "A97782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.