Active NPI
Jerry Zhong Yu, MD
- Nephrology Physician
- Wildomar, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- A136092
- Practice address
- 36320 Inland Valley Dr Ste 308
Wildomar, CA 92595 - Phone
- (951) 600-7630
- Fax
- (951) 600-7164
- NPI assigned
- Apr 3, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A136092 | CA | |
| Nephrology Physician | 207RN0300X | A136092 | CA | Primary |
Addresses
Primary practice location
36320 Inland Valley Dr Ste 308
Wildomar, CA 92595
Mailing address
3660 Park Sierra Dr Ste 203
Riverside, CA 92505-3071
Phone (951) 687-3400
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Geisel School of Medicine at Dartmouth, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
36320 Inland Valley Dr
Suite 307
Wildomar, CA 92595-7512
Phone (951) 600-7630
Hospital & facility affiliations
- Fresenius Kidney Care Murrieta Dialysis
- DaVita Lake Elsinore Dialysis
- DaVita Menifee Home Dialysis
- Loma Linda University Medical Center-Murrieta
- Temecula Valley Hospital
- Southwest Healthcare Rancho Springs Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A136092 | CA | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nephrology Associates Medical Group Inc | Nephrology | Current | Accepting new patients |
| Temecula Valley Hospitalist Medical Group, Inc. | Internal Medicine | Current | Accepting new patients |
| Universal Health Services of Rancho Springs Inc | Past | Accepting new patients | |
| Temecula Valley Hospital Inc | Past | Accepting new patients | |
| Nephrology Associates Medical Group, Inc. | Past | Accepting new patients |
Locations
425 Diamond Dr
Ste 102
Lake Elsinore, CA 92530
Phone (951) 471-5711
3660 Park Sierra Dr
Ste 208
Riverside, CA 92505
Phone (951) 687-2800
3660 Park Sierra Dr
Ste 203
Riverside, CA 92505
Phone (951) 687-3400
31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939
31537 Rancho Pueblo Rd
Ste 201
Temecula, CA 92592
Phone (951) 687-7140
36320 Inland Valley Dr
Ste 307
Wildomar, CA 92595
Phone (909) 600-0110
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jyu182200@direct.llu.edu
- jerry.yu.1@19859.direct.athenahealth.com
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.
-
- Nephrology Physician
- Riverside, CA
- NPI 1447200126
-
- Internal Medicine Physician
- Temecula, CA
- NPI 1265874135
-
- Specialist
- Riverside, CA
- NPI 1093264145
-
- General Acute Care Hospital
- Temecula, CA
- NPI 1679816201
-
- General Acute Care Hospital
- Murrieta, CA
- NPI 1245221050
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Murrieta, CA
- NPI 1073148896
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Lake Elsinore, CA
- NPI 1205895869
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Menifee, CA
- NPI 1942620976
Dialysis facility
-
- General Acute Care Hospital
- Murrieta, CA
- NPI 1588908388
-
- General Acute Care Hospital
- Temecula, CA
- NPI 1679816201
-
- General Acute Care Hospital
- Murrieta, CA
- NPI 1245221050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628553600000",
"number": "1740523133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3660 PARK SIERRA DR STE 203",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925053071",
"telephone_number": "951-687-3400",
"fax_number": "951-687-7630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36320 INLAND VALLEY DR STE 308",
"city": "WILDOMAR",
"state": "CA",
"postal_code": "92595",
"telephone_number": "951-600-7630",
"fax_number": "951-600-7164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "JERRY",
"middle_name": "ZHONG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-03",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A136092",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "CA",
"license": "A136092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wildomar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.