Dr Jie Shi Yan, MD in Simi Valley, CA

Dr Jie Shi Yan, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Simi Valley, California. He went to Stanford University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice California Kidney Medical Group Inc and his current practice location is 2925 Sycamore Dr, Suite 160, Simi Valley, California. You can reach out to his office (for appointments etc.) via phone at (805) 584-0177.

Dr Jie Shi Yan is licensed to practice in California (license number A78071) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396744546.

Contact Information

	Dr Jie Shi Yan, MD
	2925 Sycamore Dr, Suite 160, Simi Valley, CA 93065-1207
	(805) 584-0177
	(805) 584-1179

Map and Direction

Physician's Profile

Full Name	Dr Jie Shi Yan
Gender	Male
Speciality	Nephrology
Experience	19 Years
Location	2925 Sycamore Dr, Simi Valley, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jie Shi Yan attended and graduated from Stanford University School Of Medicine in 2005

NPI Data:

NPI Number: 1396744546
Provider Enumeration Date: 07/19/2005
Last Update Date: 07/18/2023

Medicare PECOS Information:

PECOS PAC ID: 2860417409
Enrollment ID: I20051012000616

Medical Identifiers

Medical identifiers for Dr Jie Shi Yan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396744546	NPI	-	NPPES
A78071	Other	CA	CALIFORNIA LICENSE NUMBER
00A780710	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	A78071 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Davita-moorpark Dialysis Center	Moorpark, CA	Dialysis facility
Davita-dialysis Center Of Simi Valley	Simi valley, CA	Dialysis facility
Davita-dialysis Center Of Thousand Oaks	Thousand oaks, CA	Dialysis facility
Adventist Health Simi Valley	Simi valley, CA	Hospital
Los Robles Hospital & Medical Center	Thousand oaks, CA	Hospital
Cedars-sinai Medical Center	Los angeles, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
California Kidney Medical Group Inc	2769396357	5

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jie Shi Yan allows following entities to bill medicare on his behalf.

Entity Name	County Of Ventura
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629167457 PECOS PAC ID: 7911810171 Enrollment ID: O20031112000587

Entity Name	California Kidney Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760586705 PECOS PAC ID: 2769396357 Enrollment ID: O20031118000343

Entity Name	Jonathan Nasseri Md Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194063529 PECOS PAC ID: 8921253469 Enrollment ID: O20130306000489

Entity Name	Jie Shi Yan Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588318703 PECOS PAC ID: 2264828219 Enrollment ID: O20220331001215

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jie Shi Yan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jie Shi Yan, MD Po Box 2160, Moorpark, CA 93020-2160 Ph: (818) 718-2301	Dr Jie Shi Yan, MD 2925 Sycamore Dr, Suite 160, Simi Valley, CA 93065-1207 Ph: (805) 584-0177

Reviews and Comments

Internal Medicine Doctors in Simi Valley, CA

Cho May, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2975 Sycamore Dr, Simi Valley, CA 93065 Phone: 626-944-5144
Dr. Varol Serdar Togay, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1687 Erringer Rd, Suite 105, Simi Valley, CA 93065 Phone: 805-584-9293
Dr. Anthony Thong Phan, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1189 Swallow Ln Ste 110, Simi Valley, CA 93065 Phone: 805-526-3213 Fax: 805-583-5929
Qurat-ul-ain Ahmed Rashid, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2975 Sycamore Dr, United Inpatient Consultants, Simi Valley, CA 93065 Phone: 805-522-2500
Dr. Gurdip Singh Flora, M.D Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1172 Swallow Lane, Simi Valley, CA 93065 Phone: 805-583-4111 Fax: 805-583-2041
Lucia Loredana Dattoma, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2655 1st St Ste 360, Simi Valley, CA 93065 Phone: 805-583-7640 Fax: 805-583-7641
Dr. Melissa Jill Cohen, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 2750 Sycamore Dr, 201, Simi Valley, CA 93065 Phone: 805-583-0110

Dr Jie Shi Yan, MD - Medicare Nephrology in Simi Valley, CA