Carmen Jan Yoo, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

CA11663T Issued in CA

Practice address

1319 S Harbor Blvd
Fullerton, CA 92832-3001

Phone

(714) 758-0185

Fax

(714) 758-0759

NPI assigned

Jun 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Carmen Jan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1427085059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 S HARBOR BLVD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928323001",
            "telephone_number": "714-758-0185",
            "fax_number": "714-758-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 S HARBOR BLVD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928323001",
            "telephone_number": "714-758-0185",
            "fax_number": "714-758-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "CARMEN",
        "middle_name": "JAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA11663T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0116630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARMEN",
            "last_name": "JAN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Maria Yniesta
• Samantha Yniguez
• Anita Lee Yokota
• Kristel Yoneda, AMFT, APCC
• Yong Soon Shin RN NP a Nursing Corporation (Vita Plus Health Center)
• Jane Yoo, PMHNP
• Jin Yoo
• Julie Hyojung Yoo, M.D., M.P.H.
• Lisa K Yoo, D.O.
• Susie Seungyearn Yoo, PHARMD

• Optometrist in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.