Individual provider Active NPI

Stephen Yau, MD

  • Cardiovascular Disease Physician
  • Chula Vista, CA
National Provider Identifier
1689037376
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
151069 Issued in CA
Practice address
429 Broadway
Chula Vista, CA 91910-4320
Phone
(619) 434-0204
Fax
(619) 337-0191
NPI assigned
Mar 31, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 151069 CA Primary

Addresses

Primary practice location

429 Broadway
Chula Vista, CA 91910-4320

Mailing address

429 Broadway
Chula Vista, CA 91910-4320
Phone (196) 434-0204

Other identifiers 1

IdentifierTypeStateIssuer
SY3232267556MedicaidCA

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
I20220601001801 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9739429341 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Tennessee, HSC, College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1700 E Cesar E Chavez Ave
Suite 2700
Los Angeles, CA 90033-2434
Phone (310) 372-9999

2750 Sycamore Dr
Simi Valley, CA 93065-1500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
151069CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
Hassan Kafri MD, Inc. CurrentSince May 9, 2022 Accepting new patients
Adventist Health Physicians Network CurrentSince Oct 13, 2024 Accepting new patients
Adventist Health Physicians Network CurrentSince Oct 13, 2024 Accepting new patients
White Memorial Medical Center CurrentSince Oct 13, 2024 Accepting new patients
Algos Inc., a Medical Corporation Past Accepting new patients

Locations

429 Broadway
Chula Vista, CA 91910
Phone (619) 434-0204

480 Fourth Ave
Ste 401
Chula Vista, CA 91910
Phone (619) 337-0190

1700 E Cesar E Chavez Ave
Ste 2700
Los Angeles, CA 90033
Phone (310) 672-9999

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

1700 E Cesar E Chavez Ave
Ste 1400
Los Angeles, CA 90033
Phone (323) 307-8913

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 2

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": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1689037376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 BROADWAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104320",
            "telephone_number": "196-434-0204",
            "fax_number": "619-337-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 BROADWAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104320",
            "telephone_number": "619-434-0204",
            "fax_number": "619-337-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAU",
        "first_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-31",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "151069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SY3232267556",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.