Individual provider Active NPI

Jasmine Yun, MD

  • Dermatology Physician
  • Studio City, CA
National Provider Identifier
1629195656
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A81846 Issued in CA
Practice address
12409 Ventura CT Ste C
Studio City, CA 91604-2471
Phone
(818) 900-6007
Fax
(818) 900-6607
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A81846 CA Primary
Dermatopathology Physician 207ND0900X A81846 CA

Addresses

Primary practice location

12409 Ventura CT Ste C
Studio City, CA 91604-2471

Mailing address

12409 Ventura CT Ste C
Studio City, CA 91604-2471
Phone (818) 900-6007

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
I20050707000432 CA Practitioner - Dermatology 9537105994 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, Geffen School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Van Dyke Yun DermatologyGroup PAC ID 3779824271, 3 clinicians

Practice addresses (Care Compare)

12403 Ventura CT
Suite a
Studio City, CA 91604-2470
Phone (818) 900-6007

12409 Ventura CT
Suite C
Studio City, CA 91604-2494
Phone (818) 900-6007

Hospital & facility affiliations

  • City of Hope Helford Clinical Research Hospital Hospital, Duarte, CA, CCN 050146

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions359
Removal or shaving of skin growth1-10
Skin biopsy127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A81846CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Van Dyke Yun Dermatology Dermatology CurrentSince Oct 30, 2018 Accepting new patients
Van Dyke Yun Medical Group Pacific Dermatopathology & Jasmine Yun MD a Dermatology CurrentSince Jul 5, 2010 Accepting new patients
Lakeside Medical Organization, a Medical Group Inc. Dermatology CurrentSince Mar 17, 2010 Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Dermatology Past Accepting new patients
White Memorial Medical Group, Inc. Past Accepting new patients
Regents Univ of Calif Los Angeles PastSince May 1, 2019 Accepting new patients

Locations

191 S Buena Vista St
Ste 200
Burbank, CA 91505
Phone (818) 887-2671

8510 Balboa Blvd
Ste 150
Northridge, CA 91325
Phone (818) 637-2000

12409 Ventura Ct
Ste C
Studio City, CA 91604
Phone (310) 828-4071

12403 Ventura Ct
Ste A
Studio City, CA 91604
Phone (818) 900-6007

Interoperability endpoints

  • Direct secure messaging: jasmine.yun.p1@direct.lakeside.nextgenshare.com

Organizations & group practices 6

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 1

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1629195656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12409 VENTURA CT STE C",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042471",
            "telephone_number": "818-900-6007",
            "fax_number": "818-900-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12409 VENTURA CT STE C",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042471",
            "telephone_number": "818-900-6007",
            "fax_number": "818-900-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUN",
        "first_name": "JASMINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A81846",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "A81846",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

Verify at the official NPI Registry.