Active NPI
Gilbert Youdeem, DC
- Chiropractor
- Cypress, CA
National Provider Identifier
1326070830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC24875
- Practice address
- 9919 Walker St
Cypress, CA 90630-3827 - Phone
- (714) 527-7463
- Fax
- (714) 527-8962
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC24875 | CA | Primary |
| Sports Physician Chiropractor | 111NS0005X | DC24875 | CA |
Addresses
Primary practice location
9919 Walker St
Cypress, CA 90630-3827
Mailing address
9919 Walker St
Cypress, CA 90630-3827
Phone (714) 527-7463
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9922 Walker St
Suite G
Cypress, CA 90630-3097
Phone (714) 527-7463
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24875 | CA | MD | Marriage & Family Therapist |
| DC24875 | CA | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youdeem Chiropractic Corporation | Current | Accepting new patients |
Locations
9919 Walker St
Cypress, CA 90630
Phone (714) 527-7463
9922 Walker St
Ste G
Cypress, CA 90630
Phone (714) 220-0290
4021 Orange Ave
Cypress, CA 90630
Phone (562) 283-8223
Organizations & group practices 1
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.
-
- Clinic/Center
- Cypress, CA
- NPI 1477733517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254700800000",
"number": "1326070830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9919 WALKER ST",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906303827",
"telephone_number": "714-527-7463",
"fax_number": "714-527-8962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9919 WALKER ST",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906303827",
"telephone_number": "714-527-7463",
"fax_number": "714-527-8962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUDEEM",
"first_name": "GILBERT",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2009-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC24875",
"primary": true
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "DC24875",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cypress, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.