Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HYE-JIN YUN CLARK
NPI 1417537630
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Active since April 12, 2021PECOS Enrolled
1101 VAN NESS AVE STE 1100, SAN FRANCISCO, CA 94109(415) 600-6000 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 31, 2026, Apr 12, 2021 (2 updates tracked since 2021).

About Hye-jin Yun Clark NPPES

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

HYE-JIN YUN CLARK (NPI 1417537630) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417537630
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameHYE-JIN YUN CLARK
Location Address1101 VAN NESS AVE STE 1100San Francisco, CA 94109-6919
Mailing Address1101 Van Ness Ave Ste 1100San Francisco, CA 94109-6919 · (415) 600-6000
Sole ProprietorNo
Enumeration DateApril 12, 2021
Last NPPES UpdateAugust 31, 20262 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
NPI 1417537630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1101 VAN NESS AVE STE 1100, San Francisco, CA 94109

Other Names 1

Former Name (1)Hye-jin Yun Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Hye-jin Yun Clark 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.

Other Providers at the Same Location NPPES 13

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

Student in an Organized Health Care Education/Training Program
1101 VAN NESS AVE STE 1100
SAN FRANCISCO, CA 94109
Student in an Organized Health Care Education/Training Program
1101 VAN NESS AVE STE 1100
SAN FRANCISCO, CA 94109
Student in an Organized Health Care Education/Training Program
1101 VAN NESS AVE STE 1100
SAN FRANCISCO, CA 94109
Psychiatry & Neurology (Psychiatry)
1101 VAN NESS AVE STE 1100
SAN FRANCISCO, CA 94109
Internal Medicine
1101 VAN NESS AVE STE 1100
SAN FRANCISCO, CA 94109
Student in an Organized Health Care Education/Training Program
1101 VAN NESS AVE STE 1100
SAN FRANCISCO, CA 94109
Student in an Organized Health Care Education/Training Program
1101 VAN NESS AVE STE 1100
SAN FRANCISCO, CA 94109
Student in an Organized Health Care Education/Training Program
1101 VAN NESS AVE STE 1100
SAN FRANCISCO, CA 94109

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 Hye-jin Clark's NPI number?

The NPI number for Hye-jin Clark is 1417537630. It was assigned to this individual provider in the NPPES registry on April 12, 2021. The provider is also known as Hye-Jin Yun MD.

Where is Hye-jin Clark located?

Hye-jin Clark practices at 1101 Van Ness Ave Ste 1100, San Francisco, CA 94109. The listed phone number is (415) 600-6000.

What is Hye-jin Clark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Hye-jin Clark enrolled in Medicare?

Yes. Hye-jin Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Hye-jin Clark was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.