Organization Active NPI

Joomo Yang, MD., Inc.

  • Internal Medicine Physician
  • San Clemente, CA
National Provider Identifier
1083772867
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A64412 Issued in CA
Legal business name
JOOMO YANG, MD., INC.
Practice address
2403 Camino Corso Rio
San Clemente, CA 92673-3613
Phone
(949) 226-8416
Fax
(949) 226-8019
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joomo Yang, M.D.
Title
President
Phone
(949) 226-8416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A64412 CA Primary

Addresses

Primary practice location

2403 Camino Corso Rio
San Clemente, CA 92673-3613

Mailing address

1001 Avenida Pico
#C517
San Clemente, CA 92673-6957
Phone (949) 226-8416

National Provider Directory

National Provider Directory

Locations

1001 Avenida Pico
#C517
San Clemente, CA 92673
Phone (949) 226-8416

1001 Avenida Pico
Ste C517
San Clemente, CA 92673
Phone (949) 226-8416

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083772867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 AVENIDA PICO",
            "address_2": "#C517",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736957",
            "telephone_number": "949-226-8416",
            "fax_number": "949-226-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 CAMINO CORSO RIO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926733613",
            "telephone_number": "949-226-8416",
            "fax_number": "949-226-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOOMO YANG, MD., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "JOOMO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-226-8416",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A64412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.