CATHERINE ROSE YUN
NPI 1053991646
Podiatrist - Foot & Ankle Surgery in Stockton, CA

Active since April 09, 2021PECOS EnrolledAccepts Medicare Assignment
1810 GRAND CANAL BLVD STE 2, STOCKTON, CA 95207(209) 952-1612(209) 952-1613 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 5, 2025, Jan 7, 2025, May 30, 2021 and 1 more (4 updates tracked since 2021).

About Catherine Rose Yun NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CATHERINE ROSE YUN (NPI 1053991646) is an individual foot & ankle surgery provider in Stockton, California, licensed in California (E6144) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of California School Of Podiatric Medicine (2021).

NPPES Registry Identity

NPI1053991646
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameCATHERINE ROSE YUN
Location Address1810 GRAND CANAL BLVD STE 2Stockton, CA 95207-8110
Mailing Address99 Highway 37 WToms River, NJ 08755-6423 · (732) 557-2604
Fax(209) 952-1613
Sole ProprietorNo
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2021
Enumeration DateApril 9, 2021
Last NPPES UpdateAugust 5, 20254 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
✔ NPI 1053991646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E6144
1810 GRAND CANAL BLVD STE 2, Stockton, CA 95207

Secondary Practice Locations 2

Location 1207 Pope StSan Francisco, CA 94112-4323 · Phone (415) 994-5205
Location 299 Highway 37 WToms River, NJ 08755-6423 · Phone (732) 557-2604

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Catherine Rose Yun is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284036807
PECOS Enrollment IDI20250627002904
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Catherine Yun reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Foot & Ankle Surgery
1810 GRAND CANAL BLVD STE 2
Stockton, CA 95207
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
1810 GRAND CANAL BLVD STE 2
STOCKTON, CA 95207
Podiatrist (Foot & Ankle Surgery)
1810 GRAND CANAL BLVD STE 2
STOCKTON, CA 95207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Catherine Yun's NPI number?

The NPI number for Catherine Yun is 1053991646. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Where is Catherine Yun located?

Catherine Yun practices at 1810 Grand Canal Blvd Ste 2, Stockton, CA 95207. The listed phone number is (209) 952-1612.

What is Catherine Yun's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Catherine Yun enrolled in Medicare?

Yes. Catherine Yun is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Catherine Yun's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Catherine Yun reassigns Medicare benefits to Aur Podiatry DPM Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Catherine Yun's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Catherine Yun was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.