Active NPI
Yvonne Yen Kim Hua, DC
- Chiropractor
- Ontario, CA
National Provider Identifier
1053021345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC36361
- Practice address
- 3602 Inland Empire Blvd Ste B120
Ontario, CA 91764-4997 - Phone
- (909) 265-9500
- NPI assigned
- Nov 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC36361 | CA | Primary |
Addresses
Primary practice location
3602 Inland Empire Blvd Ste B120
Ontario, CA 91764-4997
Mailing address
1885 Charnwood CT
San Jose, CA 95132-1713
Phone (408) 315-3710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 36361 | Other | CA | DC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | yvonne@inlandmetromed.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC36361 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669680000000",
"number": "1053021345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1885 CHARNWOOD CT",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951321713",
"telephone_number": "408-315-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3602 INLAND EMPIRE BLVD STE B120",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917644997",
"telephone_number": "909-265-9500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUA",
"first_name": "YVONNE YEN",
"middle_name": "KIM",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-29",
"last_updated": "2022-11-29",
"certification_date": "2022-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC36361",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DC",
"identifier": "36361",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "yvonne@inlandmetromed.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3602 Inland Empire Blvd Ste B120",
"city": "Ontario",
"state": "CA",
"country_code": "US",
"postal_code": "917644997",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.