Individual provider Active NPI

Gordon Gar Kwong Yee, MD

  • Orthopaedic Surgery of the Spine Physician
  • Corona, CA
National Provider Identifier
1013089663
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
C54969 Issued in CA
Practice address
341 Magnolia Ave Ste 101
Corona, CA 92879-3331
Phone
(951) 256-8820
Fax
(951) 257-7510
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD00032538 WA
Orthopaedic Surgery Physician 207X00000X C54969 CA
Orthopaedic Surgery of the Spine Physician 207XS0117X MD00032538 WA
Orthopaedic Surgery of the Spine Physician 207XS0117X C54969 CA Primary

Addresses

Primary practice location

341 Magnolia Ave Ste 101
Corona, CA 92879-3331

Mailing address

341 Magnolia Ave Ste 101
Corona, CA 92879-3331
Phone (951) 256-8820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120330000572 CA Practitioner - Orthopedic Surgery 5294717120 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
54969CAMDPharmacist
C54969CAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Spine Surgery Orthopaedic Surgery CurrentSince May 1, 2021 Accepting new patients
Foothills Orthopedic & Spine Center, P.C. Orthopaedic Surgery CurrentSince Aug 1, 2001 Accepting new patients
Uhs Corona Inc Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Seven Star Medical Group Inc. PastSince Nov 1, 2020 Accepting new patients
Portercare Adventist Health System Past Accepting new patients
Hemet Valley Medical Center Past Accepting new patients
Menifee Valley Medical Center Past Accepting new patients
United Early Learning & Family Center LLC PastSince Apr 22, 2025 Accepting new patients
Proliance Surgeons Inc P S Orthopaedic Surgery PastSince May 1, 2014 Accepting new patients
Kennewick Public Hospital District Past Accepting new patients

Locations

341 Magnolia Ave
Ste 101
Corona, CA 92879
Phone (909) 735-6060

28078 Baxter Rd
Ste 330
Murrieta, CA 92563
Phone (951) 566-9001

1136 Alpine Ave
Ste 225
Boulder, CO 80304
Phone (303) 447-3380

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: gyee134478@direct.llu.edu

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1013089663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 MAGNOLIA AVE STE 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793331",
            "telephone_number": "951-256-8820",
            "fax_number": "951-257-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 MAGNOLIA AVE STE 101",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793331",
            "telephone_number": "951-256-8820",
            "fax_number": "951-257-7510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEE",
        "first_name": "GORDON",
        "middle_name": "GAR KWONG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD00032538",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "C54969",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "WA",
            "license": "MD00032538",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CA",
            "license": "C54969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.