Individual provider Active NPI

Michael Mon Fai Yu, D.C.

  • Chiropractor
  • Portland, OR
National Provider Identifier
1619068442
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
273125 Issued in OR
Practice address
12770 SE Stark St
Plaza 125, Building C
Portland, OR 97233-1539
Phone
(503) 659-2844
Fax
(503) 525-5875
NPI assigned
Sep 27, 2006
Last updated
Jan 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 273125 OR Primary

Addresses

Primary practice location

12770 SE Stark St
Plaza 125, Building C
Portland, OR 97233-1539

Mailing address

12770 SE Stark St
Plaza 125, Building C
Portland, OR 97233-1539
Phone (503) 659-2844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
273125ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Yu DC LLC Chiropractor Past Accepting new patients
Pivot Health Acupuncture PastSince Jan 28, 2024 Accepting new patients
Dr Frances V Verzosa MD PC PastSince Apr 29, 2018 Accepting new patients
Gateway Sports Medicine & Rehabilitation PC Chiropractor PastSince Aug 22, 2007 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1619068442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12770 SE STARK ST",
            "address_2": "PLAZA 125, BUILDING C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331539",
            "telephone_number": "503-659-2844",
            "fax_number": "503-525-5875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12770 SE STARK ST",
            "address_2": "PLAZA 125, BUILDING C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331539",
            "telephone_number": "503-659-2844",
            "fax_number": "503-525-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "MICHAEL",
        "middle_name": "MON FAI",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2011; 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.