Individual provider Active NPI

Shubing Yu

  • Medical Physician Assistant
  • West Covina, CA
National Provider Identifier
1790249514
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
56255 Issued in CA
Practice address
2707 E Valley Blvd Ste 103
West Covina, CA 91792-3196
Phone
(626) 810-7772
NPI assigned
Jan 25, 2019
Last updated
Jan 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 56255 CA Primary

Addresses

Primary practice location

2707 E Valley Blvd Ste 103
West Covina, CA 91792-3196

Mailing address

10331 Sparkling Dr
Rancho Cucamonga, CA 91730-0315

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240703003238 CA Practitioner - Physician Assistant 0547704330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TL Health Care FoundationGroup PAC ID 0446622120, 4 clinicians
Herald Christian Health CenterGroup PAC ID 0941337117, 12 clinicians

Practice addresses (Care Compare)

1418 S San Gabriel Blvd
Suite B
San Gabriel, CA 91776-4605
Phone (626) 293-1988

923 S San Gabriel Blvd
San Gabriel, CA 91776-2743
Phone (626) 286-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Herald Christian Health Center CurrentSince May 22, 2023 Accepting new patients

Locations

3401 Aero Jet Ave
El Monte, CA 91731
Phone (626) 286-8700

923 S San Gabriel Blvd
San Gabriel, CA 91776
Phone (626) 286-7018

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1790249514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10331 SPARKLING DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 E VALLEY BLVD STE 103",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917923196",
            "telephone_number": "626-810-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "SHUBING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "56255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.