Active NPI
An Yen, M.D.
- Procedural Dermatology Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Procedural Dermatology Physician
- License
- A056462
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 85.99
- Promoting interoperability
- 89
- Improvement activities
- 40
- Cost
- 77.64
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 16 |
| Removal of skin lesions | 222 |
| Removal of skin cancer | 506 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 50 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A056462 | CA | MD | Procedural Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | 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
- 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.
-
- Procedural Dermatology Physician
- Sacramento, CA
- NPI 1184027104
-
- Maternal & Fetal Medicine Physician
- Sacramento, CA
- NPI 1013906973
-
- Dermatology Physician
- Sacramento, CA
- NPI 1184617102
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
-
- Dermatology Physician
- Waikoloa, HI
- NPI 1790649135
-
- Dermatology Physician
- Waikoloa, HI
- NPI 1710842661
-
- Surgery Physician
- Sacramento, CA
- NPI 1427041698
-
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.