Justin Harrison Yim

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

21320 Hidden Pines Dr
Diamond Bar, CA 91765-3531

Phone

(909) 656-7165

NPI assigned

Jan 23, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Justin Harrison Yim Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1508627845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21320 HIDDEN PINES DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653531",
            "telephone_number": "909-656-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21320 HIDDEN PINES DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653531",
            "telephone_number": "909-656-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YIM",
        "first_name": "JUSTIN",
        "middle_name": "HARRISON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTIN",
            "last_name": "YIM",
            "middle_name": "HARRISON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lynn F. Y. Yamamoto, M.S., M.F.T.
• Jenchen Yang, M.D., PH.D
• Peter Soler Yatar Jr., M.D.
• Alice Yi Yeh, RN
• Yeyongshin DO Inc
• Li Yin
• Bonnie Yoo, LCSW
• Hana Yoo
• Kay Kyunghwa Yoo, D.D.S.
• Sung J Yoo, MD

• Behavior Technician in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.