Active NPI
Yeong K Ahn, M.D.
- Specialist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A45633
- Practice address
- 1300 N Vermont Ave
100
Los Angeles, CA 90027-6005 - Phone
- (323) 457-4350
- Fax
- (323) 913-4351
- NPI assigned
- Oct 31, 2005
- Last updated
- Dec 11, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | A45633 | CA | Primary |
Addresses
Primary practice location
1300 N Vermont Ave
100
Los Angeles, CA 90027-6005
Mailing address
1300 N Vermont Ave
# 600
Los Angeles, CA 90027-6098
Phone (213) 457-4350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A456330 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2200 W 3Rd St
Suite 120B
Los Angeles, CA 90057-5902
Phone (213) 484-7310
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahn Medical Group, Inc | Specialist | Current | Accepting new patients |
| Pih Health Good Samaritan Hospital | Past | Accepting new patients | |
| Cha Hollywood Medical Center, LP | Past | Accepting new patients |
Locations
1300 N Vermont Ave
#100
Los Angeles, CA 90027
Phone (323) 457-4350
1300 N Vermont Ave
#600
Los Angeles, CA 90027
Phone (213) 484-8446
1300 N Vermont Ave
Ste 100
Los Angeles, CA 90027
Phone (323) 913-4300
1300 N Vermont Ave
Ste 600
Los Angeles, CA 90027
Phone (323) 665-5600
2200 W 3rd St
Ste 120B
Los Angeles, CA 90057
Phone (213) 484-7288
3663 W 6th St
Ste 108
Los Angeles, CA 90020
Phone (213) 382-6525
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Los Angeles, CA
- NPI 1932125580
-
dba Hollywood Presbyterian Medical Center
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1922033547
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1508859323
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hollywood Presbyterian Medical Center
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1922033547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607644800000",
"number": "1073504031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 N VERMONT AVE",
"address_2": "# 600",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276098",
"telephone_number": "213-457-4350",
"fax_number": "213-913-4351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 N VERMONT AVE",
"address_2": "100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900276005",
"telephone_number": "323-457-4350",
"fax_number": "323-913-4351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHN",
"first_name": "YEONG",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2020-12-11",
"certification_date": "2020-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A45633",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A456330",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.