TARA YUAN (MD) – Psychosomatic Medicine Physician, NPI 1124101647

TARA YUAN (MD) is a healthcare provider. based in Dana point, California. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 000000A78072 (CA). The NPI Number for TARA YUAN (MD) is 1124101647

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
TARA YUAN (MD)
NPI
1124101647
Phone
(949) 612-2727
Address
33971 Selva Rd
Enumeration Date
21 October 2006
Last Update Date
15 August 2022

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Secondary Phone
6194826037
Graduation Year
2004 (22 years ago)
PAC ID
3476445784
Group Practice PAC ID
9133187941
Professional Enrollment ID
I20040329001754
Address ID
CA919116821CH700XXCTXX400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

4,134 PSYCHIATRY in CA

Provider Addresses for TARA YUAN (MD)

  • 33971 Selva Rd

    Suite 125

    Dana Point, CA 926293788

    Phone: (949) 612-2727

    Fax: (949) 612-2727

    Type: Location

  • 555 N EL CAMINO REAL # A389

    SAN CLEMENTE, CA 926729920

    Phone: (949) 612-2727

    Fax: (949) 612-2727

    Type: Mailing

  • Mission Hospital, 27700, Medical Center Road, Mission Viejo, Orange County, California, 92691, United States

    MISSION VIEJO, CA 926916426

    Phone: (951) 364-1400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040329001754IPsychiatryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes8636$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional5019$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes3727$0
View full utilization report →

Insurance plans in this area (ZIP 92629)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133187941View full group profile
NameSpecialtyState
Family PracticeCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

Can I use this page to confirm TARA YUAN (MD)'s NPI?
Yes. TARA YUAN (MD) is listed with NPI 1124101647 in the public NPI dataset.
Does CMS list TARA YUAN (MD) as active?
Yes — TARA YUAN (MD) is active in the NPI listing used on this page.
What is TARA YUAN (MD) best known for clinically?
Directory data describes TARA YUAN (MD) with Psychosomatic Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is TARA YUAN (MD) based?
TARA YUAN (MD) is tied to Dana Point, California in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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