Individual provider Active NPI

Jay Hoon Yoo, M.D.

  • Obstetrics & Gynecology Physician
  • Anaheim, CA
National Provider Identifier
1275623340
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A71785 Issued in CA
Practice address
408 S. Beach Blvd
Suite 213
Anaheim, CA 92804-1889
Phone
(714) 821-8479
Fax
(714) 821-8905
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A71785 CA Primary

Addresses

Primary practice location

408 S. Beach Blvd
Suite 213
Anaheim, CA 92804-1889

Mailing address

408 S. Beach Blvd
Suite 213
Anaheim, CA 92804-1889
Phone (714) 821-8479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191021000028 CA Practitioner - Obstetrics/Gynecology 6800119017 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Southern California Keck School of Medicine, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

408 S Beach Blvd
Suite 213
Anaheim, CA 92804-1889

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A71785CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince May 31, 2022 Accepting new patients
Redlands Community Hospital Past Accepting new patients
Anaheim Global Medical Center, Inc Past Accepting new patients
Pih Health Downey Hospital Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients

Locations

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1275623340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S. BEACH BLVD",
            "address_2": "SUITE 213",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041889",
            "telephone_number": "714-821-8479",
            "fax_number": "714-821-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S. BEACH BLVD",
            "address_2": "SUITE 213",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041889",
            "telephone_number": "714-821-8479",
            "fax_number": "714-821-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "JAY",
        "middle_name": "HOON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A71785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.