Organization Active NPI

Jan Yuo, M.D. Inc.

  • Internal Medicine Physician
  • Montrose, CA
National Provider Identifier
1184636268
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A37730 Issued in CA
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

Updated by the provider on Aug 13, 2009

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)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X A37730 CA
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00A377301MedicaidCA

Other names 1

  • none Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.