Active NPI
Elisabeth Sunghee Youn, D.P.M.
- Podiatrist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E4458
- Practice address
- 1711 W Temple St Ste 6657
Los Angeles, CA 90026-7338 - Phone
- (213) 483-6563
- Fax
- (213) 483-6560
- NPI assigned
- Oct 17, 2005
- Last updated
- Oct 12, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E4458 | CA | Primary |
Addresses
Primary practice location
1711 W Temple St Ste 6657
Los Angeles, CA 90026-7338
Mailing address
PO Box 29034
Los Angeles, CA 90029-0034
Phone (213) 483-6563
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
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Barry University School of Podiatric Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1711 W Temple St
Suite 6657
Los Angeles, CA 90026-7338
Phone (213) 483-6563
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 543 |
| Removal or shaving of skin growth | 384 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4458 | CA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-State Community Healthcare Center | Current | Accepting new patients | |
| Tri-State Community Healthcare Center | Current | Accepting new patients | |
| Syed Hossain, M.D., Inc | Current | Accepting new patients | |
| Elisabeth Sunghee Youn | Podiatrist | Current | Accepting new patients |
| Tri-State Community Healthcare Center | Current | Accepting new patients |
Locations
11499 Bartlett Ave
Adelanto, CA 92301
Phone (760) 444-4258
11888 Bartlett Ave
Adelanto, CA 92301
Phone (760) 530-9944
540 N San Jacinto St
Ste P
Hemet, CA 92543
Phone (951) 929-4000
1711 W Temple St
Ste 4675
Los Angeles, CA 90026
Phone (213) 483-6563
1711 W Temple St
Ste 5606
Los Angeles, CA 90026
Phone (213) 989-6107
1711 W Temple St
Ste 6657
Los Angeles, CA 90026
Phone (213) 483-6563
820 W Broadway St
Needles, CA 92363
Phone (760) 326-0222
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- elizabeth.youn.p1@direct.scfhc.nextgenshare.com
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Needles, CA
- NPI 1922356369
-
- Podiatrist
- Los Angeles, CA
- NPI 1851828701
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1710274881
-
- Federally Qualified Health Center (FQHC)
- Adelanto, CA
- NPI 1508379017
-
- Federally Qualified Health Center (FQHC)
- Laughlin, NV
- NPI 1174125892
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Glendale, CA
- NPI 1760449201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1730178369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29034",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900290034",
"telephone_number": "213-483-6563",
"fax_number": "213-483-6560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 W TEMPLE ST STE 6657",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900267338",
"telephone_number": "213-483-6563",
"fax_number": "213-483-6560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUN",
"first_name": "ELISABETH",
"middle_name": "SUNGHEE",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-17",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E4458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.