DR. JACK N YU (MD) – Family Medicine Physician, NPI 1265485684

DR. JACK N YU (MD) is a healthcare provider. based in La canada flintridge, California. specializing in FAMILY PRACTICE, GERIATRIC MEDICINE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. G55744 (CA). The NPI Number for DR. JACK N YU (MD) is 1265485684

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. JACK N YU (MD)
NPI
1265485684
Phone
(747) 212-3441
Address
1975 Verdugo Blvd Ste A
Enumeration Date
18 May 2006
Last Update Date
26 January 2021

Doctor Profile

Medical School Name
BOSTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7472123441
Graduation Year
1984 (42 years ago)
PAC ID
5092849885
Group Practice PAC ID
3274580972
Professional Enrollment ID
I20100816000605
Address ID
CA912064159GL1560XDRXX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Provider Addresses for DR. JACK N YU (MD)

  • 1975 Verdugo Blvd Ste A

    LA Canada Flintridge, CA 910113024

    Phone: (747) 212-3441

    Type: Location

  • 544 N GLENDALE AVE STE B

    GLENDALE, CA 912063311

    Phone: (747) 212-3441

    Type: Location

  • Slick Cash Loan, 1125, East Broadway, Glendale, Los Angeles County, California, 91205, United States

    BOX 71

    GLENDALE, CA 912051315

    Phone: (818) 500-5586

    Fax: (818) 500-5583

    Type: Mailing

  • 230, South Chevy Chase Drive, Glendale, Los Angeles County, California, 91205, United States

    GLENDALE, CA 912054436

    Phone: (818) 500-5586

    Fax: (818) 500-5583

    Type: Location

  • 2100 POWELL ST STE 400

    EMERYVILLE, CA 946081826

    Phone: (510) 350-2600

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $222.

Total Amount is formed as General ($222) + Research ($0) + Ownership ($0) = $222.

Last reported payment date: 2024-07-23 • Largest payer in this snapshot: Exact Sciences Corporation ($138).

Total Amount

$222

General + Research + Ownership

Payments

5

Total payment records

General Amount

$222

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-08-16

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
I20100816000605IFamily PracticeCATBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes34967$0
99214Established patient office or other outpatient visit, 30-39 minutes13350$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes8337$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes4937$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes4826$0
View full utilization report →

Insurance plans in this area (ZIP 91011)

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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: 3274580972View full group profile
NameSpecialtyState
Family PracticeCA
-CA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
-CA
-CA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
Internal MedicineCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JACK N YU (MD)?
DR. JACK N YU (MD) — NPI 1265485684 — is the standard way to identify this listing.
Does the file indicate DR. JACK N YU (MD) is practicing under active NPI?
Directory data currently reports DR. JACK N YU (MD) as active.
What is DR. JACK N YU (MD) best known for clinically?
Directory data describes DR. JACK N YU (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. JACK N YU (MD) on a map?
Expect La Canada Flintridge, California as a primary anchor for DR. JACK N YU (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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