Jefferson C Yu MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

13594 Issued in NV

Legal business name

JEFFERSON C YU MD

Practice address

9440 Grenville Ave
Las Vegas, NV 89134-6206

Phone

(702) 582-9440

NPI assigned

Jun 17, 2014

Organization subpart

No

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

Authorized official

Name

Jefferson Yu, MDNPI 1619175700

Title

Owner

Phone

(702) 582-9440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jefferson C Yu, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1619175700
  Medicare reassignment NPD Authorized official
• Sheryl Anne Dela Cruz Yu, MD

  • Student in an Organized Health Care Education/Training Program
  • Las Vegas, NV
  • NPI 1548404452
  NPD (past)

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1699189746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36830",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891336830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9440 GRENVILLE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891346206",
            "telephone_number": "702-582-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON C YU MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "JEFFERSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-582-9440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "13594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff E Moxley DDS PC
• Claire Jeffe
• Rachel Jefferies
• Cherish Marie Jeffers
• Eva Jeffers
• Carolyn Laurice Jefferson Cornelius, MD
• Jefferson Family Corporation Inc
• Jefferson Family Corporation, Inc
• Jefferson Holdings
• Angelina Regina Jefferson-Das

• Internal Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Internal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.