Genus Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A61574 Issued in CA

Legal business name

GENUS MEDICAL GROUP

Practice address

6301 Beach Blvd Ste 101
Buena Park, CA 90621-4030

Phone

(714) 994-5290

Fax

(714) 994-8090

NPI assigned

Jul 17, 2017

Organization subpart

No

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

Authorized official

Name

Joseph H Yi, MDNPI 1861565285

Title

President

Phone

(714) 994-5290

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Hyogoo Yi, MD

  • Family Medicine Physician
  • Buena Park, CA
  • NPI 1861565285
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1255853768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 BEACH BLVD.",
            "address_2": "SUITE #101",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "90621",
            "telephone_number": "714-994-5290",
            "fax_number": "714-994-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 BEACH BLVD STE 101",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906214030",
            "telephone_number": "714-994-5290",
            "fax_number": "714-994-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENUS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A",
        "authorized_official_last_name": "YI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-994-5290",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A61574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A615740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Razia Ghafoori, AMFT
• Antoun Ghaly, RPH
• Maria Jose Gil, OT
• Reena K Gill

• Internal Medicine Physician in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.