Individual provider Active NPI

Yvonne Yen Kim Hua, DC

  • Chiropractor
  • Ontario, CA
National Provider Identifier
1053021345
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC36361 Issued in CA
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

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
36361OtherCADC

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
DC36361CAMDChiropractor

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.

Verify at the official NPI Registry.