Individual provider Active NPI

Yue Jin, OD

  • Optometrist
  • Mountain View, CA
National Provider Identifier
1912627514
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT35165 Issued in CA
Practice address
525 South Dr Ste 219
Mountain View, CA 94040-4211
Phone
(650) 969-4600
NPI assigned
Sep 1, 2022
Last updated
Sep 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT35165 CA Primary

Addresses

Primary practice location

525 South Dr Ste 219
Mountain View, CA 94040-4211

Mailing address

3 Plaza View LN Unit 453
Foster City, CA 94404-5130

Other practice location 1

3520 Alameda De Las Pulgas
Menlo Park, CA 94025-6510
Phone (650) 321-4500

Other names 1

  • Joy Jin Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221222000687 CA Practitioner - Optometry 2264802842 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ecs of Bay Area Optometry CorporationGroup PAC ID 4082196399, 15 clinicians

Practice addresses (Care Compare)

214 S B St
San Mateo, CA 94401-4018
Phone (650) 343-2080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT35165CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jwang Medical Group, Inc. CurrentSince Dec 5, 2022 Accepting new patients

Locations

3520 Alameda de las Pulgas
Menlo Park, CA 94025
Phone (650) 321-4500

525 South Dr
Ste 219
Mountain View, CA 94040
Phone (650) 321-4500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1912627514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 PLAZA VIEW LN UNIT 453",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944045130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 SOUTH DR STE 219",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404211",
            "telephone_number": "650-969-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3520 Alameda De Las Pulgas",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940256510",
            "country_code": "US",
            "telephone_number": "650-321-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIN",
        "first_name": "YUE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT35165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOY",
            "last_name": "JIN",
            "credential": "OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.