Individual provider Active NPI

Lucy Yusun Won, D.O.

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1497172613
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A15920 Issued in CA
Practice address
4221 Wilshire Blvd Ste 311
Los Angeles, CA 90010-3537
Phone
(323) 917-5155
NPI assigned
Mar 26, 2014
Last updated
May 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20A15920 CA Primary

Addresses

Primary practice location

4221 Wilshire Blvd Ste 311
Los Angeles, CA 90010-3537

Mailing address

4221 Wilshire Blvd Ste 311
Los Angeles, CA 90010-3537
Phone (323) 917-5155

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
I20181004002595 CA Practitioner - Psychiatry 7012136021 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Community Health CenterGroup PAC ID 7810394756, 29 clinicians

Practice addresses (Care Compare)

4221 Wilshire Blvd
Suite 311
Los Angeles, CA 90010-3537
Phone (323) 917-5155

520 N Main St
Suite 120
Santa Ana, CA 92701-4623
Phone (714) 352-5800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A15920CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Center CurrentSince Oct 22, 2023 Accepting new patients
You & Me Wellness, Apc Psychiatry CurrentSince Sep 1, 2019 Accepting new patients
New Foundation Medical Inc. Psychiatry CurrentSince Jul 23, 2018 Accepting new patients
Unsom Multispeciality Group Practice South, Inc Psychiatry Past Accepting new patients

Locations

18331 Gridley Rd
Ste A
Cerritos, CA 90703
Phone (562) 865-3738

24953 Paseo de Valencia
Ste 7C
Laguna Hills, CA 92653
Phone (714) 352-5800

4221 Wilshire Blvd
Ste 311
Los Angeles, CA 90010
Phone (323) 917-5155

6960 Magnolia Ave
Ste 203
Riverside, CA 92506
Phone (714) 352-5800

520 N Main St
Ste 120
Santa Ana, CA 92701
Phone (714) 352-5800

520 N Main St
Ste 220
Santa Ana, CA 92701
Phone (714) 352-5800

1101 Bryan Ave
Ste E
Tustin, CA 92780
Phone (714) 352-5800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1497172613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 WILSHIRE BLVD STE 311",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103537",
            "telephone_number": "323-917-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 WILSHIRE BLVD STE 311",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103537",
            "telephone_number": "323-917-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WON",
        "first_name": "LUCY",
        "middle_name": "YUSUN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A15920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.