Yeonju Nam

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT306065 Issued in CA

Practice address

11717 Sorrento Valley Rd
San Diego, CA 92121-1004

Phone

(858) 847-2025

NPI assigned

Oct 28, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kim Physical Therapy Associates PCGroup PAC ID 7810252921, 3 clinicians

All Star Physical TherapyGroup PAC ID 7719030949, 149 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• All Star Physical Therapy

  • Physical Therapist
  • Murrieta, CA
  • NPI 1750559431
  Medicare reassignment Care Compare group NPD
• Kim Physical Therapy Associates, PC

  dba Genuine Care Physical Therapy

  • Physical Therapist
  • San Diego, CA
  • NPI 1346745981
  Medicare reassignment Care Compare group
• Dynamx Physical Therapy, Inc. a Physical Therapy Corporation

  • Physical Therapy Clinic/Center
  • Buana Park, CA
  • NPI 1053755041

  Physical Therapist

  NPD

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1619577699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11717 SORRENTO VALLEY RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211004",
            "telephone_number": "858-847-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11717 SORRENTO VALLEY RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211004",
            "telephone_number": "858-847-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAM",
        "first_name": "YEONJU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040982",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT306065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Nalbandian, DPT
• Charles M Nall
• Eri Nall, PPS
• Matthew Nalus
• Nick Kwangyeon Nam, DC
• Jacob Hunter Naman, MD
• Namaste Corp
• David S. Namazy, M.D.
• Jennifer A. Namazy, M.D.
• Nami San Diego

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; 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.