Organization Active NPI

Y. Joe Kwon, MD

  • Radiation Oncology Physician
  • Apple Valley, CA
National Provider Identifier
1114912201
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
Y. JOE KWON, MD
Practice address
18092 Wika Rd
Apple Valley, CA 92307-2132
Phone
(760) 946-1230
Fax
(760) 946-1255
NPI assigned
Sep 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Young Joe Kwon, MD, FACR
Title
Owner
Phone
(760) 946-1230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X CA Primary

Addresses

Primary practice location

18092 Wika Rd
Apple Valley, CA 92307-2132

Mailing address

18092 Wika Rd
Apple Valley, CA 92307-2132
Phone (760) 946-1230

National Provider Directory

National Provider Directory

Locations

18092 Wika Rd
Apple Valley, CA 92307
Phone (650) 485-9882

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114912201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18092 WIKA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072132",
            "telephone_number": "760-946-1230",
            "fax_number": "760-946-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18092 WIKA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072132",
            "telephone_number": "760-946-1230",
            "fax_number": "760-946-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Y. JOE KWON, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "JOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-946-1230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACR"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.