Active NPI
Jennifer Yuen, D.O.
- Neurology with Special Qualifications in Child Neurology Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- License
- 005914
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2006016572 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14518 | CA | MD | Optometrist |
| 2006016572 | MO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Children'S Hospital | Pediatrics | Current | Accepting new patients |
| University of California San Francisco | Pediatrics | Current | Accepting new patients |
| Phoenix Children'S Medical Group | Current | Accepting new patients | |
| University of California San Francisco | Pediatrics | Current | Accepting new patients |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco | Current | 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
- 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.
-
- Pediatrics Physician
- Phoenix, AZ
- NPI 1922112044
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
-
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1164512851
Pediatrics
-
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
-
- General Acute Care Hospital
- Casa Grande, AZ
- NPI 1437107208
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Phoenix, AZ
- NPI 1457402364
-
- Children's Hospital
- Overland Park, KS
- NPI 1154400232
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Francisco, CA
- NPI 1992818256
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1144325440
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.