Dong Joon Yi, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A37857 Issued in CA

Practice address

1058 S Vermont Ave
227
Los Angeles, CA 90006-2721

Phone

(213) 368-6025

Fax

(213) 368-6047

NPI assigned

Dec 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1023176229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 S VERMONT AVE",
            "address_2": "227",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062721",
            "telephone_number": "213-368-6025",
            "fax_number": "213-368-6047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 S VERMONT AVE",
            "address_2": "227",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062721",
            "telephone_number": "213-368-6025",
            "fax_number": "213-368-6047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1058 S Vermont Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900062721",
            "country_code": "US",
            "telephone_number": "213-380-8833",
            "fax_number": "213-368-6047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YI",
        "first_name": "DONG",
        "middle_name": "JOON",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A37857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A378571",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chung Hee Yi, L.AC
• Connor Yi
• Daniel Yi
• Daniel C Yi
• Daniel Kwangson Yi, D.C.
• Esther Jin-Ah Yi, MD
• Hanna Yi
• Hyun Woo Yi, CASE MANAGER
• Inwoo Yi, DDS
• Irene Yerene Yi

• Pediatrics Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.