NPIMap

Individual provider Active NPI

Justin Youngbin Rheem, M.D.

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1205246113
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A137983 Issued in CA
Practice address
505 S Virgil Ave
Ste 106
Los Angeles, CA 90020-1407
Phone
(213) 381-3630
Fax
(213) 674-7414
NPI assigned
Apr 30, 2014
Last updated
Feb 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A137983 CA Primary

Addresses

Primary practice location

505 S Virgil Ave
Ste 106
Los Angeles, CA 90020-1407

Mailing address

505 S Virgil Ave
Ste 106
Los Angeles, CA 90020-1407
Phone (213) 381-3630

Other practice location 1

505 S Virgil Ave Ste 102
Los Angeles, CA 90020-1407
Phone (213) 381-3630

Other names 1

  • Young Rheem Former name

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
I20180118002371 CA Practitioner - Internal MedicinePractitioner - Geriatric Medicine 6800155839 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Loma Linda University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15435 S Western Ave
Suite 100B
Gardena, CA 90249-4331
Phone (310) 807-0840

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A137983CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yonsei Medical Group, Inc. Single Specialty CurrentSince Oct 1, 2021 Accepting new patients
K-Day Inc Current Accepting new patients
Inland Medical Enterprises Inc PastSince Oct 13, 2022 Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients

Locations

15435 S Western Ave
Ste 100B
Gardena, CA 90249
Phone (213) 277-1884

505 S Virgil Ave
Ste 106
Los Angeles, CA 90020
Phone (213) 381-3630

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: justin.rheem@1005898636263428.direct.elationemr.com
  • Direct secure messaging: justin.rheem@233275732197380.direct.elationemr.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Alcott Rehabilitation HospitalLos Angeles, CA, CCN 056293 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 13, 2022
Oct 13, 2022
Mid-Wilshire Health Care CenterLos Angeles, CA, CCN 056174 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 1, 2019
Sep 1, 2019

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1205246113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S VIRGIL AVE",
            "address_2": "STE 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201407",
            "telephone_number": "213-381-3630",
            "fax_number": "213-674-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S VIRGIL AVE",
            "address_2": "STE 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900201407",
            "telephone_number": "213-381-3630",
            "fax_number": "213-674-7414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 S Virgil Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900201407",
            "country_code": "US",
            "telephone_number": "213-381-3630",
            "fax_number": "213-381-3631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHEEM",
        "first_name": "JUSTIN",
        "middle_name": "YOUNGBIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-30",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A137983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOUNG",
            "last_name": "RHEEM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.