Individual provider Active NPI

Jingyun Yuan

  • Registered Nurse
  • San Jose, CA
National Provider Identifier
1972168441
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN95418432 Issued in CA
Practice address
939 Story Rd Ste 108
San Jose, CA 95122-2605
Phone
(415) 391-9686
NPI assigned
May 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC18498 CA
Registered Nurse 163W00000X RN95418432 CA Primary

Addresses

Primary practice location

939 Story Rd Ste 108
San Jose, CA 95122-2605

Mailing address

1337 Old Stone PL
San Jose, CA 95132-2539
Phone (510) 458-6759

Other practice location 1

10430 S De Anza Blvd # 230A
Cupertino, CA 95014-3019
Phone (669) 230-6822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN95418432CAMDRegistered Nurse
AC18498CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
North East Medical Services CurrentSince Sep 21, 2025 Accepting new patients

Locations

939 Story Rd
Ste 108
San Jose, CA 95122
Phone (408) 635-5050

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.

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1972168441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1337 OLD STONE PL",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951322539",
            "telephone_number": "510-458-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 STORY RD STE 108",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951222605",
            "telephone_number": "415-391-9686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10430 S De Anza Blvd # 230A",
            "address_purpose": "LOCATION",
            "city": "Cupertino",
            "state": "CA",
            "postal_code": "950143019",
            "country_code": "US",
            "telephone_number": "669-230-6822",
            "fax_number": "669-230-6823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUAN",
        "first_name": "JINGYUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC18498",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN95418432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.