Individual provider Active NPI

Brian Yi, D.P.M.

  • Podiatrist
  • Chino, CA
National Provider Identifier
1710339023
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E5598 Issued in CA
Practice address
13788 Roswell Ave Ste 106
Chino, CA 91710-1414
Phone
(909) 464-2008
Fax
(909) 287-7705
NPI assigned
Jul 11, 2016
Last updated
Sep 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC006764 PA
Podiatrist 213E00000X E5598 CA Primary

Addresses

Primary practice location

13788 Roswell Ave Ste 106
Chino, CA 91710-1414

Mailing address

13788 Roswell Ave Ste 106
Chino, CA 91710-1414
Phone (909) 464-2008

Other practice location 1

16077 Kamana Rd
Apple Valley, CA 92307-1331
Phone (760) 242-2111

Other practice location 2

5475 E La Palma Ave Ste 208
Anaheim, CA 92807-6009
Phone (909) 464-2008

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190918002129 CA Practitioner - Podiatry 9830429802 Reassigns benefits to 2 organizations
Practice locations: Chino, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10800 Magnolia Ave
Riverside, CA 92505-3043
Phone (951) 353-2000

27300 Iris Ave
Moreno Valley, CA 92555-4802
Phone (951) 243-0811

27350 Iris Ave
Moreno Valley, CA 92555-4802
Phone (866) 984-7483

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue14
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5598CAMDPodiatrist
SC006764PAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Foot and Ankle Inc. Podiatrist CurrentSince Oct 20, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 19, 2023 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 19, 2023 Accepting new patients

Locations

5475 E La Palma Ave
Ste 208
Anaheim, CA 92807
Phone (562) 761-4388

16077 Kamana Rd
Apple Valley, CA 92307
Phone (760) 242-2111

13788 Roswell Ave
Ste 106
Chino, CA 91710
Phone (909) 464-2008

9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910

393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235

10800 Magnolia Ave
Riverside, CA 92505
Phone (951) 353-2000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695686400000",
    "number": "1710339023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13788 ROSWELL AVE STE 106",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101414",
            "telephone_number": "909-464-2008",
            "fax_number": "909-287-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13788 ROSWELL AVE STE 106",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917101414",
            "telephone_number": "909-464-2008",
            "fax_number": "909-287-7705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16077 Kamana Rd",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "CA",
            "postal_code": "923071331",
            "country_code": "US",
            "telephone_number": "760-242-2111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5475 E La Palma Ave Ste 208",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928076009",
            "country_code": "US",
            "telephone_number": "909-464-2008",
            "fax_number": "909-287-7705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YI",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-11",
        "last_updated": "2023-09-26",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006764",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E5598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "10800 Magnolia Ave",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925053043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.