Individual provider Active NPI

Elisabeth Sunghee Youn, D.P.M.

  • Podiatrist
  • Los Angeles, CA
National Provider Identifier
1730178369
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4458 Issued in CA
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031205000326 CA Practitioner - Podiatry 7618872268 Reassigns benefits to 1 organization
Practice locations: Los Angeles, CA; Montclair, CA
O20100930060335 CA DME Supplier - Physician - Podiatry 6103034889 Practice locations: Los Angeles, CA

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

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue543
Removal or shaving of skin growth384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4458CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Community Healthcare Center CurrentSince Sep 1, 2025 Accepting new patients
Tri-State Community Healthcare Center CurrentSince Sep 1, 2025 Accepting new patients
Syed Hossain, M.D., Inc CurrentSince Jan 1, 2022 Accepting new patients
Elisabeth Sunghee Youn Podiatrist CurrentSince Jan 1, 1990 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.