Organization Active NPI

Alice Yung M.D. Inc

  • Obstetrics & Gynecology Physician
  • Pasadena, CA
National Provider Identifier
1790953727
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A82401 Issued in CA
Legal business name
ALICE YUNG M.D. INC
Practice address
960 E Green St
Suite L-60
Pasadena, CA 91106-2401
Phone
(626) 793-3339
Fax
(626) 793-3118
NPI assigned
Feb 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Alice Yung, M.D.NPI 1851403224
Title
Ceo
Phone
(626) 793-3339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A82401 CA Primary

Addresses

Primary practice location

960 E Green St
Suite L-60
Pasadena, CA 91106-2401

Mailing address

960 E Green St
Suite L-60
Pasadena, CA 91106-2401
Phone (626) 793-3339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080221000617 CA Part B Supplier - Clinic/Group Practice 7517041015 Receives reassigned benefits from 1 practitioner
Practice locations: Pasadena, CA

National Provider Directory

National Provider Directory

Locations

960 E Green St
Ste L-60
Pasadena, CA 91106
Phone (626) 793-3339

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1790953727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 E GREEN ST",
            "address_2": "SUITE L-60",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062401",
            "telephone_number": "626-793-3339",
            "fax_number": "626-793-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E GREEN ST",
            "address_2": "SUITE L-60",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062401",
            "telephone_number": "626-793-3339",
            "fax_number": "626-793-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE YUNG M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "YUNG",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-793-3339",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A82401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.