Organization Active NPI

Steve S. Yoon, DPM a Professional Corporation

  • Foot Surgery Podiatrist
  • Garden Grove, CA
National Provider Identifier
1730238692
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
E4436 Issued in CA
Legal business name
STEVE S. YOON, DPM A PROFESSIONAL CORPORATION
Practice address
12555 Garden Grove Blvd Ste 303
Garden Grove, CA 92843-1903
Phone
(714) 537-4100
Fax
(714) 537-4126
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Authorized official

Name
Steve S Yoon, D.P.M.
Title
President
Phone
(714) 547-3346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X E4436 CA Primary

Addresses

Primary practice location

12555 Garden Grove Blvd Ste 303
Garden Grove, CA 92843-1903

Mailing address

1315 N Tustin St # I-383
Orange, CA 92867-3905
Phone (714) 547-3346

Other identifiers 1

IdentifierTypeStateIssuer
000E44360MedicaidCA

National Provider Directory

National Provider Directory

Locations

5471 La Palma Ave
Ste 106
La Palma, CA 90623
Phone (714) 670-6195

1315 N Tustin St
Ste I382
Orange, CA 92867

1415 E 17th St
Ste 120
Santa Ana, CA 92705

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1730238692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 N TUSTIN ST # I-383",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928673905",
            "telephone_number": "714-547-3346",
            "fax_number": "714-547-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12555 GARDEN GROVE BLVD STE 303",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431903",
            "telephone_number": "714-537-4100",
            "fax_number": "714-537-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE S. YOON, DPM A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-547-3346",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E4436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E44360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.