Individual provider Active NPI

Richard Yoon, DPT

  • Physical Therapist
  • Anaheim, CA
National Provider Identifier
1750826970
Registry record updated Dec 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT292368 Issued in CA
Practice address
5630 E Santa Ana Canyon Rd
#150
Anaheim, CA 92807-3122
Phone
(714) 282-7701
NPI assigned
Dec 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT292368 CA Primary

Addresses

Primary practice location

5630 E Santa Ana Canyon Rd
#150
Anaheim, CA 92807-3122

Mailing address

201 E Chapman Ave
31G
Placentia, CA 92870-4650
Phone (562) 644-3896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170213001225 CA Practitioner - Physical Therapist in Private Practice 6305129636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12555 Lakewood Blvd
Suite D
Downey, CA 90242-2771
Phone (562) 923-4704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT292368CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist Current Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Physical Therapist CurrentSince Dec 27, 2016 Accepting new patients
California Rehab & Sports Therapy CurrentSince Dec 27, 2016 Accepting new patients

Locations

5630 E Santa Ana Canyon Rd
Ste 150
Anaheim, CA 92807
Phone (714) 282-7701

505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010

14135 Francisquito Ave
Ste 100
Baldwin Park, CA 91706
Phone (626) 430-2300

12555 Lakewood Blvd
Ste D
Downey, CA 90242
Phone (562) 777-1333

2888 Long Beach Blvd
Ste 405
Long Beach, CA 90806
Phone (562) 595-4489

3111 N Tustin St
Ste 180
Orange, CA 92865
Phone (714) 282-7701

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1482451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482451200000",
    "number": "1750826970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E CHAPMAN AVE",
            "address_2": "31G",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928704650",
            "telephone_number": "562-644-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5630 E SANTA ANA CANYON RD",
            "address_2": "#150",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928073122",
            "telephone_number": "714-282-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "RICHARD",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-23",
        "last_updated": "2016-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT292368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.