Active NPI
Jan Yuo, M.D. Inc.
- Internal Medicine Physician
- Montrose, CA
National Provider Identifier
1184636268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A37730
- Legal business name
- JAN YUO, M.D. INC.
- Practice address
- 2490 Honolulu Ave Ste 128
Montrose, CA 91020-1800 - Phone
- (818) 330-9960
- Fax
- (818) 330-9963
- NPI assigned
- Aug 13, 2006
- 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. Jan Jeng Yuo, M.D.
- Title
- Owner
- Phone
- (818) 330-9960
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | A37730 | CA | |
| Internal Medicine Physician | 207R00000X | A37730 | CA | Primary |
Addresses
Primary practice location
2490 Honolulu Ave Ste 128
Montrose, CA 91020-1800
Mailing address
2490 Honolulu Ave Ste 128
Montrose, CA 91020-1800
Phone (818) 330-9960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A377301 | Medicaid | CA |
Other names 1
- none
National Provider Directory
National Provider DirectoryLocations
1818 Verdugo Blvd
Ste 112
Glendale, CA 91208
Phone (818) 790-2052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250121600000",
"number": "1184636268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2490 HONOLULU AVE STE 128",
"city": "MONTROSE",
"state": "CA",
"postal_code": "910201800",
"telephone_number": "818-330-9960",
"fax_number": "818-330-9963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2490 HONOLULU AVE STE 128",
"city": "MONTROSE",
"state": "CA",
"postal_code": "910201800",
"telephone_number": "818-330-9960",
"fax_number": "818-330-9963"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAN YUO, M.D. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-13",
"last_updated": "2009-08-13",
"status": "A",
"authorized_official_last_name": "YUO",
"authorized_official_first_name": "JAN",
"authorized_official_middle_name": "JENG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-330-9960",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": "CA",
"license": "A37730",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "CA",
"license": "A37730",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A377301",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "none",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Montrose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.