Individual provider Active NPI

Jeng Luen Yuh, M.D.

  • Gastroenterology Physician
  • Sylmar, CA
National Provider Identifier
1952438830
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A76718 Issued in CA
Practice address
14445 Olive View Dr
2B-182
Sylmar, CA 91342-1437
Phone
(818) 364-3205
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A76718 CA Primary

Addresses

Primary practice location

14445 Olive View Dr
2B-182
Sylmar, CA 91342-1437

Mailing address

118 N Kingsley Dr
Los Angeles, CA 90004-4321

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
I20040401001831 CA Practitioner - Internal MedicinePractitioner - Gastroenterology 1850383456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
University of Southern California Keck School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mordo Suchov MD IncGroup PAC ID 8426102112, 15 clinicians

Practice addresses (Care Compare)

850 S Atlantic Blvd
Suite 202
Monterey Park, CA 91754-6706
Phone (213) 483-4500

Hospital & facility affiliations

  • California Hospital Medical Center la Hospital, Los Angeles, CA, CCN 050149

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A76718CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mordo Suchov MD Inc Gastroenterology CurrentSince Feb 9, 2024 Accepting new patients

Locations

850 S Atlantic Blvd
Ste 202
Monterey Park, CA 91754
Phone (213) 483-4500

Organizations & group practices 1

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1952438830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N KINGSLEY DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14445 OLIVE VIEW DR",
            "address_2": "2B-182",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913421437",
            "telephone_number": "818-364-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUH",
        "first_name": "JENG",
        "middle_name": "LUEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A76718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

Verify at the official NPI Registry.