Individual provider Active NPI

Jun Yuan, M.D.

  • Internal Medicine Physician
  • Corona, CA
National Provider Identifier
1962461368
Registry record updated Oct 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A70186 Issued in CA
Practice address
1810 Fullerton Ave
Suite 102
Corona, CA 92881-3103
Phone
(951) 808-8863
Fax
(951) 808-0550
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A70186 CA Primary

Addresses

Primary practice location

1810 Fullerton Ave
Suite 102
Corona, CA 92881-3103

Mailing address

1810 Fullerton Ave
Suite 102
Corona, CA 92881-3103
Phone (951) 808-8863

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
I20041115001121 CA Practitioner - Internal Medicine 1052375573 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1810 Fullerton Ave
Suite 102
Corona, CA 92881-3103

1810 Fullerton Ave
Suite 102
Corona, CA 92881-3109
Phone (951) 808-8863

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A70186CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jun Yuan, M.D., Inc. Internal Medicine CurrentSince Jul 18, 2002 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Mar 1, 2014 Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine CurrentSince Mar 1, 2014 Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Uhs Corona Inc Past Accepting new patients
Talbert Medical Group, P.C. Internal Medicine Past Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Bakersfield Family Medical Group Inc Internal Medicine Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

1810 Fullerton Ave
Ste 102
Corona, CA 92881
Phone (951) 808-8863

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 11

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287792000000",
    "number": "1962461368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 FULLERTON AVE",
            "address_2": "SUITE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813103",
            "telephone_number": "951-808-8863",
            "fax_number": "951-808-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 FULLERTON AVE",
            "address_2": "SUITE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813103",
            "telephone_number": "951-808-8863",
            "fax_number": "951-808-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUAN",
        "first_name": "JUN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2010-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A70186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.