Active NPI
Yojiro Sudo, DC
- Chiropractor
- Tustin, CA
National Provider Identifier
1568889061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 32860
- Practice address
- 17251 17TH St Ste a
Tustin, CA 92780-1963 - Phone
- (714) 584-5270
- NPI assigned
- Mar 21, 2014
- Last updated
- Jul 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 32860 | CA | Primary |
Addresses
Primary practice location
17251 17TH St Ste a
Tustin, CA 92780-1963
Mailing address
17251 17TH St Ste a
Tustin, CA 92780-1963
Phone (714) 584-5270
Other practice location 1
1535 Baker St
Costa Mesa, CA 92626-3731
Phone (714) 546-1947
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140529001150 | CA | Practitioner - Chiropractic | 3375766959 | Practice locations: Tustin, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
17251 17TH St
Suite a
Tustin, CA 92780-1963
Phone (714) 584-5270
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yeargin Chiropractic Inc | Chiropractor | Current | Accepting new patients |
| Arai Chiropractic Inc | Chiropractor | Past | Accepting new patients |
Locations
17251 17th St
Ste A
Tustin, CA 92780
Phone (657) 333-6061
Organizations & group practices 2
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.
-
- Chiropractor
- Tustin, CA
- NPI 1477941508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626652800000",
"number": "1568889061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17251 17TH ST STE A",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927801963",
"telephone_number": "714-584-5270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17251 17TH ST STE A",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927801963",
"telephone_number": "714-584-5270"
}
],
"practiceLocations": [
{
"address_1": "1535 Baker St",
"address_purpose": "LOCATION",
"city": "Costa Mesa",
"state": "CA",
"postal_code": "926263731",
"country_code": "US",
"telephone_number": "714-546-1947",
"fax_number": "714-546-1960",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUDO",
"first_name": "YOJIRO",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-21",
"last_updated": "2021-07-19",
"certification_date": "2021-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "32860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 19, 2021; 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.