Organization Active NPI

J. Yoo M.D., PC

  • Obstetrics & Gynecology Physician
  • Anaheim, CA
National Provider Identifier
1548545239
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A71785 Issued in CA
Legal business name
J. YOO M.D., PC
Practice address
408 S. Beach Blvd
Suite 213
Anaheim, CA 92804-1889
Phone
(714) 821-8479
Fax
(714) 821-8905
NPI assigned
Oct 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Authorized official

Name
Dr. Jay H Yoo, M.D.
Title
President
Phone
(714) 821-8479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A71785 CA Primary

Addresses

Primary practice location

408 S. Beach Blvd
Suite 213
Anaheim, CA 92804-1889

Mailing address

408 S. Beach Blvd
Suite 213
Anaheim, CA 92804-1889
Phone (714) 821-8479

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1318464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1548545239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 S. BEACH BLVD",
            "address_2": "SUITE 213",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041889",
            "telephone_number": "714-821-8479",
            "fax_number": "714-821-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S. BEACH BLVD",
            "address_2": "SUITE 213",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041889",
            "telephone_number": "714-821-8479",
            "fax_number": "714-821-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. YOO M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-13",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-821-8479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A71785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; 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.