Individual provider Active NPI

Paul Chung-Hyun Yoon, D.P.M.

  • Podiatrist
  • Anaheim, CA
National Provider Identifier
1386683639
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4554 Issued in CA
Practice address
1781 W Romneya Dr
Suite I
Anaheim, CA 92801-1818
Phone
(714) 535-3668
Fax
(714) 526-6003
NPI assigned
Jun 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E4554 CA Primary

Addresses

Primary practice location

1781 W Romneya Dr
Suite I
Anaheim, CA 92801-1818

Mailing address

1781 W Romneya Dr
Suite I
Anaheim, CA 92801-1818
Phone (714) 535-3668

Other practice location 1

18331 Gridley Rd Ste B
Cerritos, CA 90703-5438
Phone (714) 638-1347

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040820000964 CA Practitioner - Podiatry 6608840103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1781 W Romneya Dr
Suite I
Anaheim, CA 92801-1818
Phone (714) 535-3668

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue547
Removal or shaving of skin growth157
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4554CAMDPodiatrist
4554CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Paul C. Yoon, DPM, Inc. Podiatrist CurrentSince Apr 26, 2006 Accepting new patients
Western Foot & Ankle Center Inc PastSince Jan 1, 1996 Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients

Locations

1781 W Romneya Dr
Ste I
Anaheim, CA 92801
Phone (714) 526-6000

18331 Gridley Rd
Ste B
Cerritos, CA 90703
Phone (714) 638-1347

3130 W Olympic Blvd
Ste 170
Los Angeles, CA 90006
Phone (323) 732-7551

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16311/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1386683639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 W ROMNEYA DR",
            "address_2": "SUITE I",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011818",
            "telephone_number": "714-535-3668",
            "fax_number": "714-526-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 W ROMNEYA DR",
            "address_2": "SUITE I",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011818",
            "telephone_number": "714-535-3668",
            "fax_number": "714-526-6003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18331 Gridley Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Cerritos",
            "state": "CA",
            "postal_code": "907035438",
            "country_code": "US",
            "telephone_number": "714-638-1347",
            "fax_number": "714-526-6003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOON",
        "first_name": "PAUL",
        "middle_name": "CHUNG-HYUN",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.