NPIMap

Organization Active NPI

Inchel Yeam

  • Pulmonary Disease Physician
  • San Clemente, CA
National Provider Identifier
1033369368
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G075362 Issued in CA
Legal business name
INCHEL YEAM
Practice address
675 Camino de Los Mares Ste 200
San Clemente, CA 92673-2836
Phone
(949) 489-8783
NPI assigned
Sep 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Christine R Wheat
Title
Office Manager
Phone
(949) 489-8783

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X G075362 CA
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X G075362 CA Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RS0012X G075362 CA

Addresses

Primary practice location

675 Camino de Los Mares Ste 200
San Clemente, CA 92673-2836

Mailing address

675 Camino de Los Mares Ste 200
San Clemente, CA 92673-2836
Phone (949) 489-8783

Other identifiers 1

IdentifierTypeStateIssuer
00G753621MedicaidCA

Other names 1

  • INCHEL YEAM MD Former legal business name

National Provider Directory

National Provider Directory

Locations

675 Camino de los Mares
Ste 200
San Clemente, CA 92673
Phone (949) 489-8783

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1033369368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 CAMINO DE LOS MARES STE 200",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732836",
            "telephone_number": "949-489-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 CAMINO DE LOS MARES STE 200",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926732836",
            "telephone_number": "949-489-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCHEL YEAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "WHEAT",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "949-489-8783"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G075362",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G075362",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "G075362",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G753621",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INCHEL YEAM MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.