Individual provider Active NPI

Selene Yuen, M.D.

  • Family Medicine Physician
  • Lemon Grove, CA
National Provider Identifier
1932379443
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A99615 Issued in CA
Practice address
7967 Broadway
Lemon Grove, CA 91945-1809
Phone
(619) 741-7423
NPI assigned
Mar 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A99615 CA Primary

Addresses

Primary practice location

7967 Broadway
Lemon Grove, CA 91945-1809

Mailing address

4060 Fairmount Ave
San Diego, CA 92105-1608
Phone (619) 280-1105

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
I20090226000050 CA Practitioner - Family Practice 8820154982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Herald Christian Health CenterGroup PAC ID 0941337117, 12 clinicians

Practice addresses (Care Compare)

7808 Clairemont Mesa Blvd
San Diego, CA 92111-1613
Phone (858) 598-6789

923 S San Gabriel Blvd
San Gabriel, CA 91776-2743
Phone (626) 286-8700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A99615CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Herald Christian Health Center Family Medicine CurrentSince Oct 29, 2017 Accepting new patients
Herald Christian Health Center Family Medicine CurrentSince Oct 29, 2017 Accepting new patients

Locations

3401 Aero Jet Ave
El Monte, CA 91731
Phone (626) 286-8700

7808 Clairemont Mesa Blvd
Unit A1
San Diego, CA 92111

4320 Genesee Ave
Ste 103
San Diego, CA 92117
Phone (858) 598-6789

923 S San Gabriel Blvd
San Gabriel, CA 91776
Phone (626) 286-7018

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIFJBA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436227200000",
    "number": "1932379443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 FAIRMOUNT AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051608",
            "telephone_number": "619-280-1105",
            "fax_number": "619-370-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7967 BROADWAY",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919451809",
            "telephone_number": "619-741-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUEN",
        "first_name": "SELENE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2015-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A99615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemon Grove, CA

Sources for this page

Verify at the official NPI Registry.