Organization Active NPI

Deborah Ann Yu MD Prof Corp

  • Obstetrics & Gynecology Physician
  • Monterey Park, CA
National Provider Identifier
1962777516
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G86207 Issued in CA
Legal business name
DEBORAH ANN YU MD PROF CORP
Practice address
223 N Garfield Ave Ste 205
Monterey Park, CA 91754-1700
Phone
(626) 445-3333
Fax
(626) 445-3571
NPI assigned
Mar 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Authorized official

Name
Dr. Deborah Ann Yu, MDNPI 1205907342
Title
Owner/President
Phone
(626) 445-3333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X G86207 CA Primary

Addresses

Primary practice location

223 N Garfield Ave Ste 205
Monterey Park, CA 91754-1700

Mailing address

223 N Garfield Ave #205
Monterey Park, CA 91754
Phone (626) 445-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050726000518 CA Part B Supplier - Clinic/Group Practice 4688601180 Receives reassigned benefits from 1 practitioner
Practice locations: Arcadia, CA; Monterey Park, CA

National Provider Directory

National Provider Directory

Locations

289 W Huntington Dr
Ste 202
Arcadia, CA 91007
Phone (626) 445-3333

301 W Huntington Dr
Ste 210
Arcadia, CA 91007
Phone (626) 254-8670

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1962777516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N GARFIELD AVE #205",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "91754",
            "telephone_number": "626-445-3333",
            "fax_number": "626-445-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N GARFIELD AVE STE 205",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541700",
            "telephone_number": "626-445-3333",
            "fax_number": "626-445-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH ANN YU MD PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "626-445-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G86207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.