Individual provider Active NPI

An Yen, M.D.

  • Procedural Dermatology Physician
  • Sacramento, CA
National Provider Identifier
1750488649
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
A056462 Issued in CA
Practice address
1495 River Park Dr
Suite 200
Sacramento, CA 95815-4500
Phone
(916) 925-7020
Fax
(916) 925-3680
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X A056462 CA Primary

Addresses

Primary practice location

1495 River Park Dr
Suite 200
Sacramento, CA 95815-4500

Mailing address

1495 River Park Dr
Suite 200
Sacramento, CA 95815-4500
Phone (916) 925-7020

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
I20081021000602 CA Practitioner - Dermatology 3577621432 Reassigns benefits to 2 organizations
Practice locations: Sacramento, CA; Vacaville, CA

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Skin InstituteGroup PAC ID 2365788825, 9 clinicians

Practice addresses (Care Compare)

1495 River Park Dr
Suite 200
Sacramento, CA 95815-4517
Phone (916) 925-7020

Merit-based Incentive Payment System (MIPS)

Final score
91.34 of 100Reported as group
Quality
85.99
Promoting interoperability
89
Improvement activities
40
Cost
77.64

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision16
Removal of skin lesions222
Removal of skin cancer506
Removal or shaving of skin growth1-10
Skin biopsy50

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A056462CAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Skin Institute LLC Current Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Pacific Skin Institute Current Accepting new patients
Regents of the Univ of Ca CurrentSince Jun 2, 2007 Accepting new patients
Regents of the Univ of Ca CurrentSince Jun 2, 2007 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

2521 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-1104

1495 River Park Dr
Ste 200
Sacramento, CA 95815
Phone (916) 925-6950

3301 C St
Sacramento, CA 95816
Phone (916) 734-6111

Interoperability endpoints

  • Direct secure messaging: ayen19328@hpmg.direct-ci.net

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1750488649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 RIVER PARK DR",
            "address_2": "SUITE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154500",
            "telephone_number": "916-925-7020",
            "fax_number": "916-925-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 RIVER PARK DR",
            "address_2": "SUITE 200",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154500",
            "telephone_number": "916-925-7020",
            "fax_number": "916-925-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEN",
        "first_name": "AN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A056462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.