Individual provider Active NPI

He Yu, NP

  • Primary Care Nurse Practitioner
  • Ukiah, CA
National Provider Identifier
1871833756
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95010796 Issued in CA
Practice address
630 Kings CT
Ukiah, CA 95482-5003
Phone
(707) 382-2818
NPI assigned
Feb 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 95010796 CA
Primary Care Nurse Practitioner 363LP2300X 95010796 CA Primary

Addresses

Primary practice location

630 Kings CT
Ukiah, CA 95482-5003

Mailing address

1575 Glenwood Dr
Ukiah, CA 95482-5207
Phone (707) 828-1895

Other practice location 1

3841 Brickway Blvd
Santa Rosa, CA 95403-8226
Phone (707) 569-2369

Other identifiers 1

IdentifierTypeStateIssuer
NONEOtherN/A

Other names 1

  • Helen Yu Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL VA

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
I20230322002456 CA Order and Referring Only - Nurse Practitioner 7315264272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1871833756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 GLENWOOD DR",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825207",
            "telephone_number": "707-828-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 KINGS CT",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825003",
            "telephone_number": "707-382-2818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3841 Brickway Blvd",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954038226",
            "country_code": "US",
            "telephone_number": "707-569-2369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YU",
        "first_name": "HE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-28",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95010796",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95010796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "VA",
            "affiliation": "N",
            "address_1": "630 Kings Ct",
            "city": "Ukiah",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954825003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HELEN",
            "last_name": "YU",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ukiah, CA

Sources for this page

Verify at the official NPI Registry.