Individual provider Active NPI

Andrew Glen Yun, MD

  • Orthopaedic Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1083674410
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A79179 Issued in CA
Practice address
9033 Wilshire Blvd Ste 360
Beverly Hills, CA 90211-1846
Phone
(310) 601-3366
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A79179 CA Primary
Specialist 174400000X A79179 CA

Addresses

Primary practice location

9033 Wilshire Blvd Ste 360
Beverly Hills, CA 90211-1846

Mailing address

PO Box 31309
Los Angeles, CA 90031-0309
Phone (310) 601-3366

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ayun472846@oc.providencedirect.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040427001066 CA Practitioner - Orthopedic Surgery 7113913179 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Stanford University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Usc Care Medical Group IncGroup PAC ID 0446157747, 1,378 clinicians

Practice addresses (Care Compare)

1441 Eastlake Ave
Suite 2424
Los Angeles, CA 90089-0112
Phone (323) 442-2582

1520 San Pablo St
Los Angeles, CA 90033-5310
Phone (800) 872-2273

1520 San Pablo St 1St Floor N
Los Angeles, CA 90033-5310
Phone (800) 872-2273

300 W Hungtington Dr
Arcadia, CA 91007-3402
Phone (626) 898-8000

9033 Wilshire Blvd
Beverly Hills, CA 90211-1847

Hospital & facility affiliations

  • Grandcare Home Health Services Home health agency, Pasadena, CA, CCN 058277
  • N & D Healthcare Services Inc Home health agency, Pasadena, CA, CCN 058255
  • New Horizon Home Health Care Home health agency, Glendale, CA, CCN 058139
  • Orange Coast Home Health, Inc. Home health agency, Costa Mesa, CA, CCN 753164
  • Angelicare Home Health Inc Home health agency, Chino, CA, CCN 059316
  • Usc Arcadia Hospital Hospital, Arcadia, CA, CCN 050238
  • Usc Kenneth Norris Jr Cancer Hospital Hospital, Los Angeles, CA, CCN 050660
  • Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290
  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262
  • Keck Hospital of Usc Hospital, Los Angeles, CA, CCN 050696

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement383
Knee replacement484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A79179CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Saint Johns Medical Foundation Specialist CurrentSince Jul 1, 2018 Accepting new patients
Usc Care Medical Group, Inc Orthopaedic Surgery CurrentSince Jun 1, 2024 Accepting new patients
Usc Care Medical Group, Inc Orthopaedic Surgery CurrentSince Jun 1, 2024 Accepting new patients
Providence Saint John'S Health Center PastSince May 2, 2005 Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

9033 Wilshire Blvd
Ste 360
Beverly Hills, CA 90211
Phone (310) 601-3342

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

12414 Exposition Blvd
Los Angeles, CA 90064
Phone (310) 272-7640

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

2121 Santa Monica Blvd
#760W
Santa Monica, CA 90404

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1083674410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31309",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900310309",
            "telephone_number": "310-601-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9033 WILSHIRE BLVD STE 360",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111846",
            "telephone_number": "310-601-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUN",
        "first_name": "ANDREW",
        "middle_name": "GLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A79179",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A79179",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ayun472846@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2001 Santa Monica Blvd Ste 760W",
            "city": "Santa Monica",
            "state": "CA",
            "country_code": "US",
            "postal_code": "904042102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.