Organization Active NPI

Leisure Yu, MD, Inc.

  • Orthopaedic Surgery Physician
  • Loma Linda, CA
National Provider Identifier
1578756979
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G62381 Issued in CA
Legal business name
LEISURE YU, MD, INC.
Practice address
10459 Mt View Ave
Suite D
Loma Linda, CA 92354-2033
Phone
(909) 799-3838
Fax
(909) 799-3830
NPI assigned
Aug 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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

Authorized official

Name
Leisure YuNPI 1811960875
Title
Authorized Offical
Phone
(909) 214-2105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X G62381 CA Primary

Addresses

Primary practice location

10459 Mt View Ave
Suite D
Loma Linda, CA 92354-2033

Mailing address

30688 Country Club Dr
Redlands, CA 92373-7619
Phone (909) 214-2105

Other identifiers 2

IdentifierTypeStateIssuer
602135600OtherUS DEPT OF LABOR
00G623810MedicaidCA

National Provider Directory

National Provider Directory

Locations

10459 Mountain View Ave
Ste D
Loma Linda, CA 92354
Phone (909) 799-3838

Practitioners & affiliated clinicians

Practitioners 1

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": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512950400000",
    "number": "1578756979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30688 COUNTRY CLUB DR",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923737619",
            "telephone_number": "909-214-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10459 MT VIEW AVE",
            "address_2": "SUITE D",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542033",
            "telephone_number": "909-799-3838",
            "fax_number": "909-799-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEISURE YU, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2017-12-11",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "LEISURE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "909-214-2105"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G62381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "602135600",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G623810",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.