Individual provider Active NPI

Sora Yoon

  • Marriage & Family Therapist
  • Hayward, CA
National Provider Identifier
1083018477
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
124094 Issued in CA
Practice address
24301 Southland Dr Ste 300
Hayward, CA 94545-1546
Phone
(510) 300-3500
NPI assigned
Oct 15, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 124094 CA Primary

Addresses

Primary practice location

24301 Southland Dr Ste 300
Hayward, CA 94545-1546

Mailing address

24301 Southland Dr Ste 300
Hayward, CA 94545-1546
Phone (510) 300-3500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address syoon@lafamiliacounseling.org Health Information Exchange (HIE) The Alliance For Community Wellness

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

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1083018477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24301 SOUTHLAND DR STE 300",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945451546",
            "telephone_number": "510-300-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24301 SOUTHLAND DR STE 300",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945451546",
            "telephone_number": "510-300-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "SORA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-15",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "124094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "syoon@lafamiliacounseling.org",
            "affiliation": "Y",
            "endpointDescription": "syoon@lafamiliacounseling.org",
            "affiliationName": "The Alliance For Community Wellness",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "24301 Southland Dr Ste 300",
            "city": "Hayward",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945451546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.