Organization Active NPI

Paul C. Yoon, DPM, Inc.

  • Foot Surgery Podiatrist
  • Anaheim, CA
National Provider Identifier
1265512032
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
E4554 Issued in CA
Legal business name
PAUL C. YOON, DPM, INC.
Practice address
1781 W Romneya Dr
Suite I
Anaheim, CA 92801-1818
Phone
(714) 535-3668
Fax
(714) 526-6003
NPI assigned
Oct 16, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Paul Chung-Hyun Yoon, D.P.M.NPI 1386683639
Title
President
Phone
(714) 535-3668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X E4554 CA Primary

Addresses

Primary practice location

1781 W Romneya Dr
Suite I
Anaheim, CA 92801-1818

Mailing address

1781 W Romneya Dr
Suite I
Anaheim, CA 92801-1818
Phone (714) 535-3668

Other practice location 1

18331 Gridley Rd Ste B
Cerritos, CA 90703-5438
Phone (714) 638-1347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061103000275 CA Part B Supplier - Clinic/Group Practice 6305843335 Receives reassigned benefits from 1 practitioner
Practice locations: Anaheim, CA; Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

1781 W Romneya Dr
Ste 1
Anaheim, CA 92801
Phone (714) 535-3668

18331 Gridley Rd
Ste B
Cerritos, CA 90703
Phone (714) 638-1347

3130 W Olympic Blvd
Ste 170
Los Angeles, CA 90006
Phone (323) 732-7551

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1265512032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 W ROMNEYA DR",
            "address_2": "SUITE I",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011818",
            "telephone_number": "714-535-3668",
            "fax_number": "714-526-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 W ROMNEYA DR",
            "address_2": "SUITE I",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011818",
            "telephone_number": "714-535-3668",
            "fax_number": "714-526-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18331 Gridley Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Cerritos",
            "state": "CA",
            "postal_code": "907035438",
            "country_code": "US",
            "telephone_number": "714-638-1347",
            "fax_number": "714-526-6003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PAUL C. YOON, DPM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "CHUNG-HYUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-535-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E4554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.