Individual provider Active NPI

Peter Yuo, LVN

  • Nursing Home Administrator
  • La Canada, CA
National Provider Identifier
1730572355
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
License
6002514740 Issued in CA
Practice address
500 Georgian Rd
La Canada, CA 91011-3546
Phone
(818) 434-3237
Fax
(818) 330-9963
NPI assigned
Mar 5, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home Administrator 376G00000X 6002514740 CA Primary

Addresses

Primary practice location

500 Georgian Rd
La Canada, CA 91011-3546

Mailing address

500 Georgian Rd
La Canada, CA 91011-3546
Phone (818) 434-3237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6002514740CAMDNursing Home Administrator

Practice roles

OrganizationSpecialtyStatusNew patients
Pzy Diagnostic Consulting Inc Current Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1730572355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GEORGIAN RD",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910113546",
            "telephone_number": "818-434-3237",
            "fax_number": "818-330-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GEORGIAN RD",
            "city": "LA CANADA",
            "state": "CA",
            "postal_code": "910113546",
            "telephone_number": "818-434-3237",
            "fax_number": "818-330-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUO",
        "first_name": "PETER",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "CA",
            "license": "6002514740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Canada, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.