Individual provider Active NPI

Yujie Xu, M.D., PH.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Seal Beach, CA
National Provider Identifier
1902030190
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A106274 Issued in CA
Practice address
3030 Old Ranch Pkwy Ste 430
Seal Beach, CA 90740-2760
Phone
(562) 799-8900
Fax
(562) 799-8901
NPI assigned
May 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A106274 CA Primary

Addresses

Primary practice location

3030 Old Ranch Pkwy Ste 430
Seal Beach, CA 90740-2760

Mailing address

1117 Hope St
South Pasadena, CA 91030-2512
Phone (310) 227-9485

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE) The Permanente Medical Group

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120613000707 CA Practitioner - Pathology 4880858307 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
New York University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

7300 N Fresno St
Fresno, CA 93720-2941
Phone (559) 448-4500

Hospital & facility affiliations

  • Kaiser Foundation Hospital - Fresno Hospital, Fresno, CA, CCN 050710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
106274CAMDDentist
A106274CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Anatomic Pathology & Clinical Pathology CurrentSince Dec 21, 2016 Accepting new patients
Permanente Medical Group Inc Anatomic Pathology & Clinical Pathology Current Accepting new patients
San Gabriel Valley Consulting Pathologists Medical Group, Inc. Anatomic Pathology & Clinical Pathology Current Accepting new patients
San Gabriel Valley Consulting Pathologists Medical Group, Inc. Anatomic Pathology & Clinical Pathology CurrentSince Jun 18, 2012 Accepting new patients
San Gabriel Valley Consulting Pathologists Medical Group, Inc. Anatomic Pathology & Clinical Pathology CurrentSince Jun 18, 2012 Accepting new patients
San Gabriel Valley Consulting Pathologists Medical Group, Inc. Anatomic Pathology & Clinical Pathology Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Dec 21, 2016 Accepting new patients
Sterling Pathology Medical Corporation PastSince Dec 1, 2023 Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

7300 N Fresno St
Fresno, CA 93720
Phone (207) 448-4500

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

531 W College St
Los Angeles, CA 90012
Phone (213) 268-5000

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

900 S Atlantic Blvd
Monterey Park, CA 91754
Phone (626) 457-7450

1800 Harrison St
Fl 7
Oakland, CA 94612

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

438 W Las Tunas Dr
San Gabriel, CA 91776
Phone (626) 289-5454

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

1115 S Sunset Ave
West Covina, CA 91790
Phone (626) 814-2434

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1902030190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 HOPE ST",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910302512",
            "telephone_number": "310-227-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 OLD RANCH PKWY STE 430",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907402760",
            "telephone_number": "562-799-8900",
            "fax_number": "562-799-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "YUJIE",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-04",
        "last_updated": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A106274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "7300 North Fresno Street",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "93720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seal Beach, CA

Sources for this page

Verify at the official NPI Registry.