Active NPI
Edmund Yu, DPM
- Podiatrist
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E5615
- Practice address
- 2545 W Hammer LN
Stockton, CA 95209-2839 - Phone
- (209) 948-1641
- NPI assigned
- Mar 22, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Podiatrist | 213E00000X | E5615 | CA | Primary |
Addresses
Primary practice location
2545 W Hammer LN
Stockton, CA 95209-2839
Mailing address
PO Box 255228
Sacramento, CA 95865-5228
Phone (185) 577-1033
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2505 W Hammer LN
Stockton, CA 95209-2839
Phone (209) 957-7050
2545 W Hammer LN
Stockton, CA 95209-2839
Phone (209) 957-7050
2800 L St
Sacramento, CA 95816-5616
600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 524-1211
815 Court St
Jackson, CA 95642-2154
918 S Fairmont Ave
Lodi, CA 95240-5119
Phone (209) 366-2001
924 S Fairmont Ave
Lodi, CA 95240-5119
Phone (209) 334-2590
Hospital & facility affiliations
- Dameron Hospital
- Sutter Tracy Community Hospital
- Sutter Amador Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of nail tissue | 52 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5615 | CA | MD | Podiatrist |
| 5615 | CA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern California Orthopaedic Associates Corp | Podiatrist | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Northern California Orthopaedic Associates Corp | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Dameron Hospital Association | Past | Accepting new patients | |
| Sutter North Medical Foundation | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients | |
| Sutter Tracy Community Hospital | Past | Accepting new patients |
Locations
1061 E Main St
Ste 201
Grass Valley, CA 95945
Phone (530) 477-5288
815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900
924 S Fairmont Ave
Lodi, CA 95240
Phone (209) 334-2590
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
75 Scripps Dr
Sacramento, CA 95825
Phone (916) 512-6262
2545 W Hammer Ln
Stockton, CA 95209
Phone (209) 948-1641
445 W Eaton Ave
Tracy, CA 95376
Phone (209) 830-4062
Interoperability endpoints
- eyu565042@hisp.ehr.sutterhealth.org
Organizations & group practices 11
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.
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Orthopaedic Surgery Physician
- Sacramento, CA
- NPI 1942610795
Podiatrist
-
- Orthopaedic Surgery Physician
- Roseville, CA
- NPI 1558720177
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- General Acute Care Hospital
- Stockton, CA
- NPI 1538163886
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1467560599
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1487694857
-
- General Acute Care Hospital
- Carmichael, CA
- NPI 1972541498
-
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
-
- General Acute Care Hospital
- Tracy, CA
- NPI 1043291164
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1811946734
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stockton, CA
- NPI 1538163886
-
- General Acute Care Hospital
- Jackson, CA
- NPI 1447494323
-
- General Acute Care Hospital
- Tracy, CA
- NPI 1821442864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1831620764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 255228",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958655228",
"telephone_number": "185-577-1033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2545 W HAMMER LN",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952092839",
"telephone_number": "209-948-1641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YU",
"first_name": "EDMUND",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-22",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E5615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.