MR. YONIS A MUDEY NURSE PRACTITIONER NPI 1790048767

NPI Information

  • NPI: 1790048767
  • Provider Name: MR. YONIS A MUDEY, NURSE PRACTITIONER
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2288 FULTON ST STE 309
    BERKELEY, CA
    ZIP 94704
  • Phone: (650) 577-2097

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NPI Details

MR. Yonis A Mudey, NURSE PRACTITIONER is a psychiatric/mental health nurse practitioner in Berkeley, CA with 17 years of experience. MR. Yonis A Mudey, NURSE PRACTITIONER NPI is 1790048767. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2288 FULTON ST STE 309
BERKELEY, CA
ZIP 94704-490
Phone: (650) 577-2097
Fax: (650) 577-2098

The NPI 1790048767 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Psychotherapy with evaluation and management visit, 30 minutes (HCPCS:90833)
  • Follow-up nursing facility visit per day, typically 25 minutes (HCPCS:99309)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
  • Initial nursing facility visit per day, typically 35 minutes (HCPCS:99305)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Initial nursing facility visit per day, typically 45 minutes (HCPCS:99306)

The enumeration date for this NPI number is 6/24/2012 and was last updated on 4/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health21343CALIFORNIANo
2363LF0000XNurse PractitionerFamily21343CALIFORNIANo
3363LP2300XNurse PractitionerPrimary Care21343CALIFORNIANo
4364SC1501XClinical Nurse SpecialistCommunity Health/Public Health3467CALIFORNIANo
5363LP0808XNurse PractitionerPsychiatric/Mental Health21343CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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