Individual provider Active NPI

Jamie Jungwon Yoon, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1093486953
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
95018496 Issued in CA
Practice address
2727 W Olympic Blvd Ste 205
Los Angeles, CA 90006-2640
Phone
(213) 529-4251
NPI assigned
Sep 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 95018496 CA Primary

Addresses

Primary practice location

2727 W Olympic Blvd Ste 205
Los Angeles, CA 90006-2640

Mailing address

3140 San Marino St Unit 403
Los Angeles, CA 90006-1475
Phone (714) 356-7311

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260121001039 CA Practitioner - Nurse Practitioner 5799262846 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Onyx Medical Group IncGroup PAC ID 3870016579, 11 clinicians

Practice addresses (Care Compare)

1451 Rimpau Ave
Suite 212
Corona, CA 92879-7522
Phone (951) 346-0041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95018496CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Remedial Medical Services Inc CurrentSince Dec 10, 2025 Accepting new patients
Onyx Medical Group Inc CurrentSince Dec 10, 2025 Accepting new patients
Vital Medical Group, Inc CurrentSince Dec 8, 2025 Accepting new patients
Heacock Health Medical Group, Inc. CurrentSince Dec 10, 2025 Accepting new patients
Remedial Patients Care Inc CurrentSince Dec 8, 2025 Accepting new patients
Ac and CS PastSince Dec 8, 2025 Accepting new patients

Locations

1451 Rimpau Ave
Ste 212
Corona, CA 92879
Phone (951) 346-0041

1451 Rimpau Ave
Ste 213
Corona, CA 92879
Phone (951) 268-6272

1314 W Glenoaks Blvd
Ste 205
Glendale, CA 91201
Phone (818) 396-5158

24060 Fir Ave
Ste A
Moreno Valley, CA 92553
Phone (951) 243-6460

3576 Arlington Ave
Ste 205
Riverside, CA 92506
Phone (951) 530-8972

Interoperability endpoints

  • Direct secure messaging: jamie.yoon@163047503298564.direct.elationemr.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1093486953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 SAN MARINO ST UNIT 403",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900061475",
            "telephone_number": "714-356-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W OLYMPIC BLVD STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062640",
            "telephone_number": "213-529-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "JAMIE",
        "middle_name": "JUNGWON",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95018496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.