NPIMap

Individual provider Active NPI

Aeree Yoon, MD

  • Internal Medicine Physician
  • Torrance, CA
National Provider Identifier
1679574206
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A42628 Issued in CA
Practice address
3565 Del Amo Blvd
Torrance, CA 90503
Phone
(310) 793-4673
Fax
(310) 793-4630
NPI assigned
Aug 4, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A42628 CA Primary

Addresses

Primary practice location

3565 Del Amo Blvd
Torrance, CA 90503

Mailing address

3565 Del Amo Blvd
Torrance, CA 90503
Phone (310) 793-4673

Other identifiers 1

IdentifierTypeStateIssuer
00A426280OtherCAMEDI CAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ayoon976609@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040614001446 CA Practitioner - Internal Medicine 2365426822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians

Practice addresses (Care Compare)

1499 W 1St St
San Pedro, CA 90732-3255
Phone (310) 831-9482

Hospital & facility affiliations

  • Hollywood Home Health Services Home health agency, N Hollywood, CA, CCN 058310
  • Providence Home Health la County South Home health agency, Torrance, CA, CCN 557447
  • Providence Little Co of Mary Med Ctr San Pedro Hospital, San Pedro, CA, CCN 050078
  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351
  • Providence Little Company of Mary Med Ctr Torrance Hospital, Torrance, CA, CCN 050353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42628CAMDGeneral Practice Dentistry
A42628CAMDCytopathology Physician

Practice roles (6 of 7)

OrganizationSpecialtyStatusNew patients
Providence Medical Institute Internal Medicine CurrentSince Jan 19, 2021 Accepting new patients
Providence Medical Institute Internal Medicine CurrentSince Jan 19, 2021 Accepting new patients
Providence Health System Southern California Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Talbert Medical Group, P.C. Internal Medicine Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

1499 W 1st St
San Pedro, CA 90732
Phone (310) 241-2590

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ayoon976609@oc.providencedirect.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1679574206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3565 DEL AMO BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90503",
            "telephone_number": "310-793-4673",
            "fax_number": "310-793-4630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3565 DEL AMO BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90503",
            "telephone_number": "310-793-4673",
            "fax_number": "310-793-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "AEREE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-04",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A42628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "00A426280",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ayoon976609@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1499 W 1st St",
            "city": "San Pedro",
            "state": "CA",
            "country_code": "US",
            "postal_code": "907323255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.