Active NPI
Stephen W Yeung, D.O.
- Neurology Physician
- Loma Linda, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- UO3358
- Practice address
- 11370 Anderson St Ste B-100
Loma Linda, CA 92354-3450 - Phone
- (909) 558-2880
- NPI assigned
- May 16, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 15069 | CA | |
| Neurology Physician | 2084N0400X | 125063356 | IL | |
| Neurology Physician | 2084N0400X | UO3358 | FL | Primary |
Addresses
Primary practice location
11370 Anderson St Ste B-100
Loma Linda, CA 92354-3450
Mailing address
11370 Anderson St
Loma Linda, CA 92354-3450
Phone (909) 558-2880
Other practice location 1
2160 S 1st Ave
Loyola Outpatient Center, 4300
Maywood, IL 60153-3328
Phone (708) 216-6006
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UO3358 | FL | MD | Neurology Physician |
| 15069 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Sac Health System | Current | Accepting new patients | |
| Sac Health System | Current | Accepting new patients | |
| Sac Health System | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Loyola University Medical Center | Past | Accepting new patients |
Locations
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
11370 Anderson St
Loma Linda, CA 92354
Phone (909) 558-2481
11370 Anderson St
Ste B100
Loma Linda, CA 92354
Phone (909) 558-2848
25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
28078 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000
1455 3rd Ave
Sn Bernrdno, CA 92408
Phone (909) 382-7146
Interoperability endpoints
- syeung180294@direct.llu.edu
Organizations & group practices 7
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
-
- Federally Qualified Health Center (FQHC)
- San Bernardino, CA
- NPI 1013935923
-
- Neurological Surgery Physician
- Loma Linda, CA
- NPI 1528018553
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Federally Qualified Health Center (FQHC)
- San Bernardino, CA
- NPI 1013935915
-
- Federally Qualified Health Center (FQHC)
- San Bernardino, CA
- NPI 1467274126
-
- General Acute Care Hospital
- Maywood, IL
- NPI 1528488897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538524800000",
"number": "1659663276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11370 ANDERSON ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543450",
"telephone_number": "909-558-2880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11370 ANDERSON ST STE B-100",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543450",
"telephone_number": "909-558-2880"
}
],
"practiceLocations": [
{
"address_1": "2160 S 1st Ave",
"address_2": "Loyola Outpatient Center, 4300",
"address_purpose": "LOCATION",
"city": "Maywood",
"state": "IL",
"postal_code": "601533328",
"country_code": "US",
"telephone_number": "708-216-6006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YEUNG",
"first_name": "STEPHEN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-16",
"last_updated": "2018-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "15069",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "125063356",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "UO3358",
"primary": true
}
],
"identifiers": [],
"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 Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.