Organization Active NPI

Regullano and Yu Medical Group

  • Family Medicine Physician
  • Montebello, CA
National Provider Identifier
1629007463
Registry record updated Mar 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
REGULLANO AND YU MEDICAL GROUP
Practice address
2101 W Beverly Blvd Ste 202
Montebello, CA 90640-3951
Phone
(323) 722-4674
Fax
(323) 722-9238
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2010

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

Authorized official

Name
Dr. Edwin Tan Yu, M.D.
Title
Partner
Phone
(323) 722-4674

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X

Addresses

Primary practice location

2101 W Beverly Blvd Ste 202
Montebello, CA 90640-3951

Mailing address

2101 W Beverly Blvd Ste 202
Montebello, CA 90640-3951
Phone (323) 722-4674

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0968062Regullano & Yu Medical Group2101 W Beverly Blvd Ste 202, Montebello, CA 90640Certificate of waiverDec 1, 2027

National Provider Directory

National Provider Directory

Locations

2101 W Beverly Blvd
Ste 202
Montebello, CA 90640
Phone (323) 722-4674

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1629007463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 W BEVERLY BLVD STE 202",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403951",
            "telephone_number": "323-722-4674",
            "fax_number": "323-722-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 W BEVERLY BLVD STE 202",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403951",
            "telephone_number": "323-722-4674",
            "fax_number": "323-722-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGULLANO AND YU MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "TAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "323-722-4674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.