Individual provider Active NPI

Jerry Zhong Yu, MD

  • Nephrology Physician
  • Wildomar, CA
National Provider Identifier
1740523133
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A136092 Issued in CA
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

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180703002330 CA Practitioner - NephrologyPractitioner - Internal Medicine 9830490408 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
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
Nephrology Associates Medical Group IncGroup PAC ID 5092604447, 64 clinicians

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 Dialysis facility, Murrieta, CA, CCN 752564
  • DaVita Lake Elsinore Dialysis Dialysis facility, Lake Elsinore, CA, CCN 052895
  • DaVita Menifee Home Dialysis Dialysis facility, Menifee, CA, CCN 552780
  • Loma Linda University Medical Center-Murrieta Hospital, Murrieta, CA, CCN 050770
  • Temecula Valley Hospital Hospital, Temecula, CA, CCN 050775
  • Southwest Healthcare Rancho Springs Hospital Hospital, Murrieta, CA, CCN 050701

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A136092CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates Medical Group Inc Nephrology CurrentSince Jul 2, 2018 Accepting new patients
Temecula Valley Hospitalist Medical Group, Inc. Internal Medicine CurrentSince Jan 1, 2019 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

  • Direct secure messaging: jyu182200@direct.llu.edu
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.