Edwin O Yellin, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

A40190 Issued in CA

Practice address

9549 Melvin Ave
Northridge, CA 91324-2134

Phone

(818) 772-2163

Fax

(818) 772-8131

NPI assigned

Apr 24, 2007

Sex

Male

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 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Edwin O. Yellin MD, Inc

  • Specialist
  • Northridge, CA
  • NPI 1235451121

  Infectious Disease

  Medicare reassignment NPD Authorized official
• Dignity Community Care

  dba Northridge Hospital Medical Center

  • General Acute Care Hospital
  • Northridge, CA
  • NPI 1417089350
  NPD (past)
• Providence Health System - Southern California

  dba Providence Holy Cross Medical Center

  • General Acute Care Hospital
  • Mission Hills, CA
  • NPI 1477587632
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1467670307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9549 MELVIN AVE STE 301",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242134",
            "telephone_number": "818-772-2163",
            "fax_number": "818-772-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9549 MELVIN AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242134",
            "telephone_number": "818-772-2163",
            "fax_number": "818-772-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YELLIN",
        "first_name": "EDWIN",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A40190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A401900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tim T Yee, O.D.
• Matthew Yeganeh
• Julieta Yeghoyan, PHARMD
• Erick Yeh, PA-C
• Yellen & Associates
• Daniel Yepez
• Arpie Yesayan, RPH
• Jamie Jeongmi Yi, RPH
• Joo Bin Yim, DDS
• Huan Yin

• Infectious Disease Physician in Northridge, CA
• Providers in Northridge, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.