NPIMap

Individual provider Active NPI

Luke Whan Yoon, M.D.

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1114007747
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G083776 Issued in CA
Practice address
300 S Hobart Blvd
Suite 300
Los Angeles, CA 90020-3635
Phone
(213) 387-6564
Fax
(213) 387-3495
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G083776 CA Primary

Addresses

Primary practice location

300 S Hobart Blvd
Suite 300
Los Angeles, CA 90020-3635

Mailing address

300 S Hobart Blvd
Suite 300
Los Angeles, CA 90020-3635
Phone (213) 387-6564

Other identifiers 1

IdentifierTypeStateIssuer
00G837760MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070705000673 CA Practitioner - UrologyPractitioner - General Surgery 9335249200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
UrologyAlso: General Surgery
Education
Hahnemann University College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

300 S Hobart Blvd
Suite 300
Los Angeles, CA 90020-3693
Phone (213) 387-6564

Hospital & facility affiliations

  • Western Home Care, Inc Home health agency, Buena Park, CA, CCN 058077
  • Hollywood Presbyterian Medical Center Hospital, Los Angeles, CA, CCN 050063
  • Pih Health Good Samaritan Hospital Hospital, Los Angeles, CA, CCN 050471

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G083776CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Luke W. Yoon, M.D., Inc. Specialist CurrentSince Oct 3, 1997 Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients

Locations

300 S Hobart Blvd
Ste 300
Los Angeles, CA 90020
Phone (213) 387-6564

3663 W 6th St
Ste 301
Los Angeles, CA 90020
Phone (213) 291-3228

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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 3

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1114007747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S HOBART BLVD",
            "address_2": "SUITE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203635",
            "telephone_number": "213-387-6564",
            "fax_number": "213-387-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S HOBART BLVD",
            "address_2": "SUITE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203635",
            "telephone_number": "213-387-6564",
            "fax_number": "213-387-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "LUKE",
        "middle_name": "WHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G083776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G837760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.