DR. JIE SHI YAN M.D.
NPI 1396744546
Internal Medicine - Nephrology in Simi Valley, CA

Q: What is Jie Shi Yan's NPI number?

The NPI number for Jie Shi Yan is 1396744546. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Q: What is Jie Shi Yan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Jie Shi Yan was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 19, 2005PECOS EnrolledAccepts Medicare Assignment

2925 SYCAMORE DR, SUITE 160, SIMI VALLEY, CA 93065(805) 584-0177(805) 584-1179 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2023, Mar 7, 2023 (2 updates tracked since 2023).

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About Dr. Jie Shi Yan M.d. NPPES

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

DR. JIE SHI YAN M.D. (NPI 1396744546) is an individual nephrology provider in Simi Valley, California, licensed in California (A78071) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Simi Valley, and is a graduate of Stanford University School Of Medicine (2005).

NPPES Registry Identity

NPI1396744546

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. JIE SHI YANCredential: M.D.

Location Address2925 SYCAMORE DR, SUITE 160Simi Valley, CA 93065-1207

Mailing AddressPo Box 2160Moorpark, CA 93020-2160 · (818) 718-2301 · Fax (818) 718-2311

Phone(805) 584-0177

Fax(805) 584-1179

Sole ProprietorNo

Medical School CMSStanford University School Of MedicineGraduated 2005

Enumeration DateJuly 19, 2005

Last NPPES UpdateJuly 18, 20232 updates tracked since enumeration

NPPES CertifiedJuly 18, 2023

✔ NPI 1396744546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in CA · A78071

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

2925 SYCAMORE DR, Simi Valley, CA 93065

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Secondary Practice Location 1

Location 11227 E Los Angeles AveSimi Valley, CA 93065-2871 · Phone (805) 582-4000

Other Identifiers 2

OtherA78071CA · California License Number

Medicaid00A780710CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jie Shi Yan M.d. 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 ID2860417409

PECOS Enrollment IDI20051012000616

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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

1,025 services175 patients

Dialysis services, 1 physician visit per month (20 years or older) 90962

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys canâ€™t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.

343 services57 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

302 services182 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

163 services100 patients

Home dialysis services per month (20 years or older) 90966

Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.

135 services17 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

101 services101 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

76 services61 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

36 services25 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

30 services30 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

24 services19 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

23 services23 patients

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458

This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93065 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

$140.72 typical visit price

range $62.32 – $185.36

Typical copayment $35.18 (range $15.58 – $46.34)

Most-billed visit code 99204

Established Patient

$108.74 typical visit price

range $20.68 – $151.85

Typical copayment $27.18 (range $5.17 – $37.96)

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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers39 claims81 services$5.45 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers18 claims24 services$0.85 avg. paid by Medicare

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

6 suppliers39 claims2,910 services$0.29 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers19 claims2,850 services$0.01 avg. paid by Medicare

Cyclosporine, oral, 25 mg J7515

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers28 claims2,280 services$0.56 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

9 suppliers60 claims10,200 services$0.19 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

SIMI SAN FERNANDO VALLEY UROLOGY ASSOCIATES

Specialist

2925 SYCAMORE DR, SUITE 103
SIMI VALLEY, CA 93065

Ventura County (805) 583-0944

SMITA DARSHAN MEHTA P.A.

Physician Assistant

2925 SYCAMORE DR, SUITE 204-205
SIMI VALLEY, CA 93065

Ventura County (805) 578-9620

JUN YUNG KIM FNP

Nurse Practitioner (Family)

2925 SYCAMORE DR, SUITE 204/205
SIMI VALLEY, CA 93065

Ventura County (805) 578-9620

DR. GANESH L DEVENDRA MD

Specialist

2925 SYCAMORE DR, SUITE 103
SIMI VALLEY, CA 93065

Ventura County (805) 583-0944

DR. SOHEIL DANIEL NIKU MD

Specialist

2925 SYCAMORE DR, SUITE 103
SIMI VALLEY, CA 93065

Ventura County (805) 583-0944

JEROLD T. LITOFF, M.D. A PROFESSIONAL CORP.

Neuromusculoskeletal Medicine, Sports Medicine

2925 SYCAMORE DR, SUITE 202
SIMI VALLEY, CA 93065

Ventura County (805) 527-3222

SIMI DERMATOLOGIC MEDICAL CENTER, INC

Dermatology

2925 SYCAMORE DR, STE 203
SIMI VALLEY, CA 93065

Ventura County (805) 527-6586

BRUCE A NELSON M.D.

Family Medicine

2925 SYCAMORE DR, SUITE 204/205
SIMI VALLEY, CA 93065

Ventura County (805) 578-9620

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 Jie Shi Yan's NPI number?

The NPI number for Jie Shi Yan is 1396744546. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Jie Shi Yan located?

Jie Shi Yan practices at 2925 Sycamore Dr Suite 160, Simi Valley, CA 93065. The listed phone number is (805) 584-0177.

What is Jie Shi Yan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Jie Shi Yan enrolled in Medicare?

Yes. Jie Shi Yan 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.

When was this NPI record last updated?

The NPPES record for Jie Shi Yan was last updated on July 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.