Individual provider Active NPI

Siyi Zhang Yung, M.D.

  • Pediatrics Physician
  • Oceanside, CA
National Provider Identifier
1790042851
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A127762 Issued in CA
Practice address
3998 Vista Way Ste D
Oceanside, CA 92056-4514
Phone
(760) 295-1995
Fax
(760) 295-1118
NPI assigned
Apr 13, 2012
Last updated
Jun 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A127762 CA Primary

Addresses

Primary practice location

3998 Vista Way Ste D
Oceanside, CA 92056-4514

Mailing address

3998 Vista Way Ste D
Oceanside, CA 92056-4514
Phone (760) 295-1995

Other names 1

  • Siyi Zhang Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A127762CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anna E Lee, M.D., Medical Corporation PastSince Jun 15, 2021 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1790042851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 VISTA WAY STE D",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564514",
            "telephone_number": "760-295-1995",
            "fax_number": "760-295-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 VISTA WAY STE D",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564514",
            "telephone_number": "760-295-1995",
            "fax_number": "760-295-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUNG",
        "first_name": "SIYI",
        "middle_name": "ZHANG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-13",
        "last_updated": "2021-06-10",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A127762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIYI",
            "last_name": "ZHANG",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.