NPIMap

Individual provider Active NPI

Zhenghong Yuan, MD

  • Family Medicine Physician
  • San Gabriel, CA
National Provider Identifier
1689865065
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A111673 Issued in CA
Practice address
360 E Las Tunas Dr Ste 201
San Gabriel, CA 91776-1502
Phone
(626) 289-9978
Fax
(626) 289-3978
NPI assigned
Aug 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A111673 CA Primary
Adolescent Medicine (Family Medicine) Physician 207QA0000X A111673 CA
Adult Medicine Physician 207QA0505X A111673 CA
Geriatric Medicine (Family Medicine) Physician 207QG0300X A111673 CA

Addresses

Primary practice location

360 E Las Tunas Dr Ste 201
San Gabriel, CA 91776-1502

Mailing address

360 E Las Tunas Dr Ste 201
San Gabriel, CA 91776-1502
Phone (626) 289-9978

Other identifiers 1

IdentifierTypeStateIssuer
DN401ZOtherMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100921000470 CA Practitioner - Family Practice 0941378103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

360 E Las Tunas Dr
Suite 201
San Gabriel, CA 91776-5514
Phone (626) 289-9978

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
111673CAMDClinical Social Worker
A111673CAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zhenghong Yuan MD Inc CurrentSince Jul 12, 2010 Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Dignity Community Care Past Accepting new patients

Locations

360 E Las Tunas Dr
Ste 201
San Gabriel, CA 91776
Phone (626) 289-9978

416 W Las Tunas Dr
Ste 303
San Gabriel, CA 91776
Phone (626) 299-7100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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 11

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": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1689865065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E LAS TUNAS DR STE 201",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761502",
            "telephone_number": "626-289-9978",
            "fax_number": "626-289-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E LAS TUNAS DR STE 201",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761502",
            "telephone_number": "626-289-9978",
            "fax_number": "626-289-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUAN",
        "first_name": "ZHENGHONG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-09",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A111673",
            "primary": true
        },
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "CA",
            "license": "A111673",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A111673",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A111673",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DN401Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

Verify at the official NPI Registry.