Organization Active NPI

Kelvin Yeh MD Inc

  • Gastroenterology Physician
  • Alhambra, CA
National Provider Identifier
1861020364
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
KELVIN YEH MD INC
Practice address
723 S Garfield Ave Ste 202
Alhambra, CA 91801-4429
Phone
(626) 927-7883
Fax
(844) 829-2399
NPI assigned
Mar 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Fnu Lily
Title
Manager
Phone
(626) 927-7883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

723 S Garfield Ave Ste 202
Alhambra, CA 91801-4429

Mailing address

723 S Garfield Ave Ste 202
Alhambra, CA 91801-4429
Phone (626) 927-7883

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200501000073 CA Part B Supplier - Clinic/Group Practice 9638509896 Receives reassigned benefits from 1 practitioner
Practice locations: Alhambra, CA

National Provider Directory

National Provider Directory

Locations

723 S Garfield Ave
Ste 202
Alhambra, CA 91801
Phone (818) 659-5887

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": "1585526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1861020364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 S GARFIELD AVE STE 202",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014429",
            "telephone_number": "626-927-7883",
            "fax_number": "844-829-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 S GARFIELD AVE STE 202",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918014429",
            "telephone_number": "626-927-7883",
            "fax_number": "844-829-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELVIN YEH MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-30",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "LILY",
        "authorized_official_first_name": "FNU",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "626-927-7883"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.