JUDY YI NP NPI 1750814919

NPI Information

NPI: 1750814919
Provider Name: JUDY YI, NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
1361 ESTEL DR
POMONA, CA
ZIP 91768
Phone: (909) 868-8547
Get Directions

Judy Yi, NP is a gerontology nurse practitioner in Pomona, CA. Judy Yi, NP NPI is 1750814919. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1361 ESTEL DR
POMONA, CA
ZIP 91768-361
Phone: (909) 868-8547

The NPI 1750814919 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/5/2017 and was last updated on 5/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		95006221	CALIFORNIA	No
2	363LA2200X	Nurse Practitioner	Adult Health	95006221	CALIFORNIA	No
3	363LG0600X	Nurse Practitioner	Gerontology	95006221	CALIFORNIA	Yes
4	364SA2100X	Clinical Nurse Specialist	Acute Care	95006221	CALIFORNIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	95006221	OTHER	CALIFORNIA	BRN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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