Individual provider Active NPI

Chris Sung-Il Yoon, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Bakersfield, CA
National Provider Identifier
1346232568
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A50276 Issued in CA
Practice address
5001 Commerce Dr
Suite #100
Bakersfield, CA 93309-0648
Phone
(661) 325-8375
Fax
(661) 633-3799
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A50276 CA Primary

Addresses

Primary practice location

5001 Commerce Dr
Suite #100
Bakersfield, CA 93309-0648

Mailing address

PO Box 10867
Bakersfield, CA 93389-0867
Phone (661) 325-8375

Other identifiers 4

IdentifierTypeStateIssuer
183771100OtherCAOFFICE OF WORKER'S COMP
00A502760MedicaidCA
00A502760OtherCABLUE SHILED PIN
PR4050690001OtherCACIGNA VENDOR NUMBER

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
I20040318000691 CA Practitioner - Physical Medicine and Rehabilitation 6406746841

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bakersfield Memorial Hospital Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1346232568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10867",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933890867",
            "telephone_number": "661-325-8375",
            "fax_number": "661-633-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 COMMERCE DR",
            "address_2": "SUITE #100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090648",
            "telephone_number": "661-325-8375",
            "fax_number": "661-633-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "CHRIS",
        "middle_name": "SUNG-IL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A50276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF WORKER'S COMP",
            "identifier": "183771100",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A502760",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHILED PIN",
            "identifier": "00A502760",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA VENDOR NUMBER",
            "identifier": "PR4050690001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.