Organization Active NPI

Won K Yu MD MPH Inc

  • Gastroenterology Physician
  • Tustin, CA
National Provider Identifier
1538334289
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A77275 Issued in CA
Legal business name
WON K YU MD MPH INC
Doing business as
Won K Yu, MD, MPH Digestive Diseases
Practice address
17400 Irvine Blvd Ste F
Tustin, CA 92780-3030
Phone
(714) 937-9400
Fax
(714) 937-9404
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Authorized official

Name
Won Kye Yu, M.D.NPI 1720065303
Title
Owner
Phone
(714) 937-9400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X A77275 CA Primary

Addresses

Primary practice location

17400 Irvine Blvd Ste F
Tustin, CA 92780-3030

Mailing address

230 S Main St
Ste 215
Orange, CA 92868-3851
Phone (714) 937-9400

Other names 1

  • Won K Yu, MD, MPH Digestive Diseases Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090122000247 CA Part B Supplier - Clinic/Group Practice 1153485032 Receives reassigned benefits from 2 practitioners
Practice locations: Tustin, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2168636Won K Yu MD Inc17400 Irvine Blvd, Ste F, Tustin, CA 92780ComplianceJan 27, 2027

National Provider Directory

National Provider Directory

Locations

230 S Main St
Ste 215
Orange, CA 92868
Phone (714) 937-9400

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1538334289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S MAIN ST",
            "address_2": "STE 215",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683851",
            "telephone_number": "714-937-9400",
            "fax_number": "714-937-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17400 IRVINE BLVD STE F",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803030",
            "telephone_number": "714-937-9400",
            "fax_number": "714-937-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WON K YU MD MPH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "YU",
        "authorized_official_first_name": "WON",
        "authorized_official_middle_name": "KYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-937-9400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A77275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Won K Yu, MD, MPH Digestive Diseases",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Won K Yu, MD, MPH Digestive Diseases",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.