JUDY YI NP NPI 1750814919

NPI Information

  • NPI: 1750814919
  • Provider Name: JUDY YI, NP
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1361 ESTEL DR
    POMONA, CA
    ZIP 91768
  • Phone: (909) 868-8547

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NPI Details

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
1363L00000XNurse Practitioner95006221CALIFORNIANo
2363LA2200XNurse PractitionerAdult Health95006221CALIFORNIANo
3363LG0600XNurse PractitionerGerontology95006221CALIFORNIAYes
4364SA2100XClinical Nurse SpecialistAcute Care95006221CALIFORNIANo

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
195006221OTHERCALIFORNIABRN

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: 11/21/2025

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