Individual provider Active NPI

Jennifer Yuen, D.O.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Mesa, AZ
National Provider Identifier
1679749154
Registry record updated Jul 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
005914 Issued in AZ
Practice address
1432 S Dobson Rd
Ste 403
Mesa, AZ 85202-4768
Phone
(480) 412-7473
Fax
(480) 412-7500
NPI assigned
May 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2006016572 MO
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 005914 AZ Primary

Addresses

Primary practice location

1432 S Dobson Rd
Ste 403
Mesa, AZ 85202-4768

Mailing address

1432 S Dobson Rd
Ste 403
Mesa, AZ 85202-4768
Phone (480) 412-7473

Other identifiers 1

IdentifierTypeStateIssuer
2006016572MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120814000322 AZ Practitioner - NeurologyPractitioner - Pediatric Medicine 4981850534 Reassigns benefits to 1 organization
I20230908002054 CA Practitioner - NeurologyPractitioner - Other (Physician) 4981850534 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14518CAMDOptometrist
2006016572MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Children'S Hospital Pediatrics CurrentSince Aug 1, 2018 Accepting new patients
University of California San Francisco Pediatrics CurrentSince Jul 27, 2023 Accepting new patients
Phoenix Children'S Medical Group CurrentSince Aug 1, 2018 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 27, 2023 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jul 27, 2023 Accepting new patients
University of California San Francisco CurrentSince Jul 27, 2023 Accepting new patients
Phoenix Children'S Hospital Past Accepting new patients
Casa Grande Community Hospital Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
The Children'S Mercy Hospital Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

1665 N Avondale Blvd
Avondale, AZ 85392
Phone (602) 933-0005

3420 S Mercy Rd
Ste 121
Gilbert, AZ 85297
Phone (602) 933-2263

18555 N 79th Ave
Ste E105
Glendale, AZ 85308
Phone (602) 633-2247

2108 E Thomas Rd
Ste 130
Phoenix, AZ 85016

3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814

1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

2001 The Embarcadero
Ofc Of
San Francisco, CA 94143
Phone (628) 224-5503

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

Interoperability endpoints

  • Direct secure messaging: jyuen305593@direct-ucsfmedicalcenter.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1679749154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 S DOBSON RD",
            "address_2": "STE 403",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024768",
            "telephone_number": "480-412-7473",
            "fax_number": "480-412-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 S DOBSON RD",
            "address_2": "STE 403",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024768",
            "telephone_number": "480-412-7473",
            "fax_number": "480-412-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUEN",
        "first_name": "JENNIFER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2006016572",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "AZ",
            "license": "005914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2006016572",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.