Active NPI
Esther Yoon MD, Inc
- Family Medicine Physician
- Glendale, CA
National Provider Identifier
1104182856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A99299
- Legal business name
- ESTHER YOON MD, INC
- Practice address
- 1901 Broadview Dr
Glendale, CA 91208-1201 - Phone
- (818) 246-3306
- Fax
- (818) 246-3333
- NPI assigned
- Apr 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Esther Yoon, M.D.
- Title
- President
- Phone
- (818) 246-3306
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A99299 | CA | Primary |
Addresses
Primary practice location
1901 Broadview Dr
Glendale, CA 91208-1201
Mailing address
1901 Broadview Dr
Glendale, CA 91208-1201
Phone (818) 246-3306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2337154 | Esther Yoon MD, Inc | Certificate of waiver | Jan 15, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Glendale, CA
- NPI 1174725683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611792000000",
"number": "1104182856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 BROADVIEW DR",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912081201",
"telephone_number": "818-246-3306",
"fax_number": "818-246-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 BROADVIEW DR",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912081201",
"telephone_number": "818-246-3306",
"fax_number": "818-246-3333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESTHER YOON MD, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-06",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A",
"authorized_official_last_name": "YOON",
"authorized_official_first_name": "ESTHER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-246-3306",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A99299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.