Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bernice Yan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891255238

Bernice Yan is a Dermatology in Costa Mesa, California. Qualified in 2019, 7 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3080 Bristol St Ste 650
Costa Mesa, CA 92626-7311
Phone: (213) 319-3339
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 751 S Bascom Ave, San Jose, CA 95128-2604 — (408) 885-5110

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence A183050 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1891255238
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 21, 2019
Last updated in NPPESOctober 25, 2024
Certification dateDecember 4, 2023
Mailing address751 S Bascom Ave, San Jose, CA 95128-2604

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Costa Mesa