Organization Active NPI

Dr Kwun Man Simon Yu Chiropractic Apc

  • Chiropractor
  • West Covina, CA
National Provider Identifier
1275374894
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR KWUN MAN SIMON YU CHIROPRACTIC APC
Practice address
855 N Lark Ellen Ave Ste M
West Covina, CA 91791-1099
Phone
(626) 878-5233
Fax
(626) 779-9225
NPI assigned
Jun 6, 2024
Last updated
Dec 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Authorized official

Name
Dr. Kwun Man Simon Yu, DCNPI 1245094150
Title
Owner
Phone
(626) 878-5233

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

855 N Lark Ellen Ave Ste M
West Covina, CA 91791-1099

Mailing address

855 N Lark Ellen Ave Ste M
West Covina, CA 91791-1099
Phone (626) 878-5233

Other practice location 1

33 E Valley Blvd Ste 215
Alhambra, CA 91801-5168
Phone (626) 878-5233

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250521000954 CA Part B Supplier - Clinic/Group Practice 4981123189 Receives reassigned benefits from 1 practitioner
Practice locations: West Covina, CA

National Provider Directory

National Provider Directory

Locations

33 E Valley Blvd
Ste 215
Alhambra, CA 91801
Phone (626) 878-5233

855 N Lark Ellen Ave
Ste M
West Covina, CA 91791
Phone (626) 878-5233

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": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1275374894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 N LARK ELLEN AVE STE M",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911099",
            "telephone_number": "626-878-5233",
            "fax_number": "626-779-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 N LARK ELLEN AVE STE M",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911099",
            "telephone_number": "626-878-5233",
            "fax_number": "626-779-9225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 E Valley Blvd Ste 215",
            "address_purpose": "LOCATION",
            "city": "Alhambra",
            "state": "CA",
            "postal_code": "918015168",
            "country_code": "US",
            "telephone_number": "626-878-5233",
            "fax_number": "626-779-9225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR KWUN MAN SIMON YU CHIROPRACTIC APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "KWUN MAN SIMON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-878-5233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.