Individual provider Active NPI

Jevaughn Anthony Yorke

  • Marriage & Family Therapist
  • Costa Mesa, CA
National Provider Identifier
1346500535
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
1503 S Coast Dr
Ste 202
Costa Mesa, CA 92626-1534
Phone
(949) 515-5440
NPI assigned
May 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

1503 S Coast Dr
Ste 202
Costa Mesa, CA 92626-1534

Mailing address

635 N Chippewa Ave
Apt 27
Anaheim, CA 92801-4453
Phone (323) 691-8160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1346500535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 N CHIPPEWA AVE",
            "address_2": "APT 27",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014453",
            "telephone_number": "323-691-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 S COAST DR",
            "address_2": "STE 202",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261534",
            "telephone_number": "949-515-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORKE",
        "first_name": "JEVAUGHN",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.