Active NPI
Esther Kyung-J Yu, PHARMD
- Pharmacist
- Fullerton, CA
National Provider Identifier
1720551054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 79709
- Practice address
- 1401 S Brookhurst Rd
Fullerton, CA 92833-4471 - Phone
- (714) 992-4908
- NPI assigned
- Jan 9, 2019
- Last updated
- Jan 6, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 79709 | CA | Primary |
Addresses
Primary practice location
1401 S Brookhurst Rd
Fullerton, CA 92833-4471
Mailing address
16406 Cherry Crest Cir
Cerritos, CA 90703-1908
Phone (562) 331-1130
Other practice location 1
16406 Cherry Crest Cir
Cerritos, CA 90703-1908
Phone (562) 331-1130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79709 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Performancerx Mso, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Case Management Agency
- Irvine, CA
- NPI 1891148102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1720551054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16406 CHERRY CREST CIR",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907031908",
"telephone_number": "562-331-1130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S BROOKHURST RD",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928334471",
"telephone_number": "714-992-4908"
}
],
"practiceLocations": [
{
"address_1": "16406 Cherry Crest Cir",
"address_purpose": "LOCATION",
"city": "Cerritos",
"state": "CA",
"postal_code": "907031908",
"country_code": "US",
"telephone_number": "562-331-1130",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YU",
"first_name": "ESTHER",
"middle_name": "KYUNG-J",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-09",
"last_updated": "2022-01-06",
"certification_date": "2021-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "79709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.