Individual provider Active NPI

Yuan Jeanie Son

  • Pharmacist
  • Bell Gardens, CA
National Provider Identifier
1487935409
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
73230 Issued in CA
Practice address
7625 Eastern Ave Ste C
Bell Gardens, CA 90201-4515
Phone
(323) 773-3800
Fax
(562) 928-6275
NPI assigned
Sep 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19364 MD
Pharmacist 183500000X 73230 CA Primary

Addresses

Primary practice location

7625 Eastern Ave Ste C
Bell Gardens, CA 90201-4515

Mailing address

7625 Eastern Ave Ste C
Bell Gardens, CA 90201-4515
Phone (323) 773-3800

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

State licenses

LicenseStateTypeSpecialty
73230CAMDPharmacist
19364MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jyc Company, Inc Current Accepting new patients

Locations

7625 Eastern Ave
Ste C
Bell Gardens, CA 90201
Phone (323) 773-3785

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": "1315008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1487935409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 EASTERN AVE STE C",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902014515",
            "telephone_number": "323-773-3800",
            "fax_number": "562-928-6275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 EASTERN AVE STE C",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902014515",
            "telephone_number": "323-773-3800",
            "fax_number": "562-928-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SON",
        "first_name": "YUAN",
        "middle_name": "JEANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-03",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "19364",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "73230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bell Gardens, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.