Yk Professional Medical Group PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

YK PROFESSIONAL MEDICAL GROUP PC

Practice address

5450 Beach Blvd Ste 100
Buena Park, CA 90621-1277

Phone

(714) 752-6273

Fax

(714) 716-1948

NPI assigned

Oct 3, 2024

Organization subpart

No

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

Authorized official

Name

Bernard Tilman McNamara, MDNPI 1255351573

Title

Ceo

Phone

(310) 480-4770

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bernard T McNamara, MD

  • Emergency Medicine Physician
  • Glendale, CA
  • NPI 1255351573
  Medicare reassignment NPD Authorized official
• Yvett Yoon Kim, FNP

  • Family Nurse Practitioner
  • Stanton, CA
  • NPI 1558090498

  Single Specialty

  NPD

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1497574727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 BEACH BLVD STE 100",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211277",
            "telephone_number": "714-752-6273",
            "fax_number": "714-716-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 BEACH BLVD STE 100",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906211277",
            "telephone_number": "714-752-6273",
            "fax_number": "714-716-1948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YK PROFESSIONAL MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "MCNAMARA",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "TILMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-480-4770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF REGISTERED NURSING",
            "identifier": "95008390",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF REGISTERED NURSING",
            "identifier": "95021251",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Hyogoo Yi, MD
• Robin Yi, DPT
• Sang Kil Yi, MASSAGE THERAPIST
• Christopher Yih, DO
• Ashley Yim
• Hong Ju Yoo, FNP-C
• Jihee Yoo, SLP
• Mickle Yanghee Yoo I
• Steve Jiweon Yoo, DO
• Yoon Smile Dental

• Primary Care Clinic/Center in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.