Active NPI
Janie Yoo, M. A.
- Occupational Therapist
- Costa Mesa, CA
National Provider Identifier
1205284858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 15142
- Practice address
- 340 Victoria St
Costa Mesa, CA 92627-1914 - Phone
- (714) 642-0387
- NPI assigned
- May 24, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 15142 | CA | Primary |
Addresses
Primary practice location
340 Victoria St
Costa Mesa, CA 92627-1914
Mailing address
7641 Granada Dr
Buena Park, CA 90621-1212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15142 | CA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464048000000",
"number": "1205284858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7641 GRANADA DR",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906211212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 VICTORIA ST",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926271914",
"telephone_number": "714-642-0387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOO",
"first_name": "JANIE",
"credential": "M. A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-24",
"last_updated": "2016-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "15142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.