Individual provider Active NPI

Yinglu Peng, RD

  • Registered Dietitian
  • San Francisco, CA
National Provider Identifier
1821708140
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
86061531 Issued in CA
Practice address
845 Jackson St # B1
San Francisco, CA 94133-4851
Phone
(415) 677-2370
NPI assigned
Nov 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86061531 CA Primary

Addresses

Primary practice location

845 Jackson St # B1
San Francisco, CA 94133-4851

Mailing address

845 Jackson St # B1
San Francisco, CA 94133-4851

Other practice location 1

1800 31st Ave
San Francisco, CA 94122-4229
Phone (415) 677-2388

Other practice location 2

888 Paris St Ste 202
San Francisco, CA 94112-3858
Phone (415) 677-2488

Other practice location 3

386 Gellert Blvd Ste Bcd
Daly City, CA 94015-2611
Phone (650) 761-3500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221209000937 CA Practitioner - Registered Dietitian Or Nutrition Professional 2466821632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.23 of 100Reported as group
Quality
90.21
Promoting interoperability
100
Improvement activities
40
Cost
90.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86061531CAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Chinese Hospital Association CurrentSince Dec 28, 2022 Accepting new patients
Chinese Hospital Association Current Accepting new patients
Chinese Hospital Association CurrentSince Dec 28, 2022 Accepting new patients

Locations

386 Gellert Blvd
Ste Bcd
Daly City, CA 94015
Phone (650) 761-3500

845 Jackson St
#B1
San Francisco, CA 94133
Phone (415) 677-2370

888 Paris St
Ste 202
San Francisco, CA 94112
Phone (415) 677-2388

1800 31st Ave
San Francisco, CA 94122
Phone (415) 566-0633

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1821708140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 JACKSON ST # B1",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 JACKSON ST # B1",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334851",
            "telephone_number": "415-677-2370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 31st Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941224229",
            "country_code": "US",
            "telephone_number": "415-677-2388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "888 Paris St Ste 202",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941123858",
            "country_code": "US",
            "telephone_number": "415-677-2488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "386 Gellert Blvd Ste Bcd",
            "address_purpose": "LOCATION",
            "city": "Daly City",
            "state": "CA",
            "postal_code": "940152611",
            "country_code": "US",
            "telephone_number": "650-761-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENG",
        "first_name": "YINGLU",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "86061531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.