Jeanine Yamanaka, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A68698 Issued in CA

Practice address

850 S. Atlantic Blvd.
301
Monterey Park, CA 91754-4769

Phone

(626) 289-7699

NPI assigned

Jun 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Ophthalmology

Education

University of California - School of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paul T Urrea M D M P H IncGroup PAC ID 9638130735, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Paul T Urrea M D M P H Inc

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1619074838
  Medicare reassignment Care Compare group NPD
• Ahmc Monterey Park Hospital LP

  • General Acute Care Hospital
  • Monterey Park, CA
  • NPI 1780676221
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1104981661
  NPD (past)
• Glendale Adventist Medical Center

  • Skilled Nursing Facility
  • Glendale, CA
  • NPI 1114916293

  Ophthalmology

  NPD (past)
• White Memorial Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1215927470
  NPD (past)
• Tanana Chiefs Conference

  • Ambulatory Surgical Clinic/Center
  • Fairbanks, AK
  • NPI 1871332387

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1972707677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 S. ATLANTIC BLVD.",
            "address_2": "301",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 S. ATLANTIC BLVD.",
            "address_2": "301",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917544769",
            "telephone_number": "626-289-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMANAKA",
        "first_name": "JEANINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A68698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0079700",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A686980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hui Xu
• John Jun Ming Xu, L. AC.
• Lisa Xu
• Lynn Jie Xu, NP
• Zhehua Xu, M.D.
• Michelle Yan, PA-C
• Yanco Pharmacy Inc
• Yang Xie Healthcare Incorporation
• Yang Xie Healthcare Incorporation
• Cheng Yu Yang

• Ophthalmology Physician in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.