YAJUAN GAO
NPI 1063161990
Nurse Practitioner - Family in Monterey Park, CA

Q: What is Yajuan Gao's NPI number?

The NPI number for Yajuan Gao is 1063161990. It was assigned to this individual provider in the NPPES registry on March 19, 2022.

Q: What is Yajuan Gao's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Yajuan Gao was last updated on March 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since March 19, 2022PECOS Enrolled

701 S ATLANTIC BLVD STE 100, MONTEREY PARK, CA 91754(626) 300-9980 Get Directions Write a Review

NPPES record last updated: March 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Yajuan Gao NPPES

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

YAJUAN GAO (NPI 1063161990) is an individual family provider in Monterey Park, California, licensed in California (NP95019355) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (2021).

NPPES Registry Identity

NPI1063161990

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameYAJUAN GAO

Location Address701 S ATLANTIC BLVD STE 100Monterey Park, CA 91754-3845

Mailing Address701 S Atlantic Blvd Ste 100Monterey Park, CA 91754-3845

Phone(626) 300-9980

Sole ProprietorNo

Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2021

Enumeration DateMarch 19, 2022

NPPES CertifiedMarch 18, 2022

✔ NPI 1063161990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · NP95019355

701 S ATLANTIC BLVD STE 100, Monterey Park, CA 91754

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yajuan Gao is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537694948

PECOS Enrollment IDI20241121004317

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91754 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

NA JEN

General Practice