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CHALEE YIMYAM D.P.M
NPI 1144756677
Podiatrist - Foot & Ankle Surgery in San Diego, CA

Active since May 03, 2017PECOS Enrolled
34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 524-1707 Get Directions Write a Review

NPPES record last updated: May 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 3, 2024, Aug 22, 2023, Jul 23, 2023 and 5 more (8 updates tracked since 2018).

About Chalee Yimyam D.p.m NPPES

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

CHALEE YIMYAM D.P.M (NPI 1144756677) is an individual foot & ankle surgery provider in San Diego, California, licensed in California (5976) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144756677
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameCHALEE YIMYAMCredential: D.P.M
Location Address34800 BOB WILSON DRSan Diego, CA 92134-2205
Mailing Address330 13th St Apt 2207San Diego, CA 92101-4762 · (253) 600-7330
Phone(619) 524-1707
Sole ProprietorYes
Enumeration DateMay 3, 2017
Last NPPES UpdateMay 3, 20248 updates tracked since enumeration
NPPES CertifiedMay 3, 2024
✔ NPI 1144756677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses✔ Licensed in CA · 5976✔ Licensed in FL · PO3948✔ Licensed in UT · 11694035-0501
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 5976 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License E5976 (CA)
34800 BOB WILSON DR, San Diego, CA 92134
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Chalee Yimyam D.p.m is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

4

Medicare enrollment records show Chalee Yimyam reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of California Sfgh Medical Group
457 mi
Podiatrist
2540 23RD STREET, BUILDING 7, 3RD FLOOR
San Francisco, CA 94110
  • Reassigned Medicare billing, California enrollment
  • 81 clinicians in this Medicare group
NPI 1700057908 (415) 476-2124
Ucsf Dept Of Surgery
459 mi
Surgery
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 761 clinicians in this Medicare group
NPI 1477627537 (415) 353-2161
University Of California San Francisco
459 mi
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
NPI 1346329380 (415) 353-2161
Ucsf Medical Group Business Services
459 mi
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
NPI 1477624104 (415) 353-2808

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 20

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

LORENA MARIE FUJII N.P.
Nurse Practitioner (Pediatrics)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-8910
JANELLE MARIE MARRA DO
Family Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
LAKIESHA NICOLE MURPHY
Nurse's Aide
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 713-3385
SUSANNA BYRNE D.O.
Anesthesiology
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
DR. PAUL CHARLES CAMPBELL D.O.
Urology (Pediatric Urology)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-7200
PHILLIP EDWARD FRY JR. DO
Emergency Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
BRADLY JAMES STILLEY IDC
Military Health Care Provider (Independent Duty Corpsman)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (360) 941-9989
DR. ELIZABETH WHIPPLE PHD
Military Health Care Provider
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400

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 Chalee Yimyam's NPI number?

The NPI number for Chalee Yimyam is 1144756677. It was assigned to this individual provider in the NPPES registry on May 3, 2017.

Where is Chalee Yimyam located?

Chalee Yimyam practices at 34800 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (619) 524-1707.

What is Chalee Yimyam's specialty?

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

Is Chalee Yimyam enrolled in Medicare?

Yes. Chalee Yimyam is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Chalee Yimyam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chalee Yimyam reassigns Medicare benefits to 4 organizations: University Of California Sfgh Medical Group (San Francisco, CA), Ucsf Dept Of Surgery (San Francisco, CA), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). Each 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 Chalee Yimyam'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 Chalee Yimyam was last updated on May 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.