Individual provider Active NPI

Lucia Flores Yumena, M.D.

  • Nephrology Physician
  • Fremont, CA
National Provider Identifier
1508927633
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A39976 Issued in CA
Practice address
2557 Mowry Ave Ste 33
Fremont, CA 94538-1614
Phone
(510) 745-8100
Fax
(510) 797-4983
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A39976 CA
Nephrology Physician 207RN0300X A39976 CA Primary

Addresses

Primary practice location

2557 Mowry Ave Ste 33
Fremont, CA 94538-1614

Mailing address

2557 Mowry Ave Ste 33
Fremont, CA 94538-1614
Phone (510) 745-8100

Other identifiers 1

IdentifierTypeStateIssuer
00A399760MedicaidCA

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
I20101213000624 CA Practitioner - Internal MedicinePractitioner - Nephrology 3870780141 Reassigns benefits to 1 organization
Practice locations: Fremont, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2557 Mowry Ave
Suite 33
Fremont, CA 94538-1614
Phone (510) 745-8100

Hospital & facility affiliations

  • DaVita Union City Dialysis Center Dialysis facility, Union City, CA, CCN 052571
  • Amore Home Health Home health agency, Fremont, CA, CCN 059509
  • Washington Hospital Hospital, Fremont, CA, CCN 050195

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A39976CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Township Hospital District Current Accepting new patients
Washington Township Hospital District CurrentSince Mar 27, 2011 Accepting new patients

Locations

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1508927633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2557 MOWRY AVE STE 33",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381614",
            "telephone_number": "510-745-8100",
            "fax_number": "510-797-4983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2557 MOWRY AVE STE 33",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381614",
            "telephone_number": "510-745-8100",
            "fax_number": "510-797-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUMENA",
        "first_name": "LUCIA",
        "middle_name": "FLORES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A39976",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A39976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A399760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.