Active NPI
Nance Yuan, MD
- Plastic and Reconstructive Surgery Physician
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- A137172
- Practice address
- 435 Arden Ave Ste 530
Glendale, CA 91203-1140 - Phone
- (626) 888-1202
- NPI assigned
- Apr 9, 2013
- Last updated
- Aug 22, 2022
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Plastic and Reconstructive Surgery Physician | 2086S0122X | A137172 | CA | Primary |
Addresses
Primary practice location
435 Arden Ave Ste 530
Glendale, CA 91203-1140
Mailing address
837 S Fair Oaks Ave Ste 100
Pasadena, CA 91105-2644
Phone (626) 795-0282
Other practice location 1
1245 16th St
Santa Monica, CA 90404-1235
Phone (310) 825-5582
Other practice location 2
8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-4256
Other practice location 3
837 S Fair Oaks Ave Ste 100
Pasadena, CA 91105-2644
Phone (626) 795-0282
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 12, 2024 through Feb 12, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A137172 | CA | MD | Plastic and Reconstructive Surgery Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Plastic Surgery Physician
- Glendale, CA
- NPI 1619610854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1689017667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "837 S FAIR OAKS AVE STE 100",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052644",
"telephone_number": "626-795-0282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 ARDEN AVE STE 530",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912031140",
"telephone_number": "626-888-1202"
}
],
"practiceLocations": [
{
"address_1": "1245 16th St",
"address_purpose": "LOCATION",
"city": "Santa Monica",
"state": "CA",
"postal_code": "904041235",
"country_code": "US",
"telephone_number": "310-825-5582",
"fax_number": "310-825-0723",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8700 Beverly Blvd",
"address_purpose": "LOCATION",
"city": "West Hollywood",
"state": "CA",
"postal_code": "900481804",
"country_code": "US",
"telephone_number": "310-423-4256",
"fax_number": "310-423-4711",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "837 S Fair Oaks Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911052644",
"country_code": "US",
"telephone_number": "626-795-0282",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YUAN",
"first_name": "NANCE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-09",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "CA",
"license": "A137172",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "9400 Rosecrans Ave",
"city": "Bellflower",
"state": "CA",
"country_code": "US",
"postal_code": "907062246",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.