Individual provider Active NPI

Lisa K Yoo, D.O.

  • Anesthesiology Physician
  • Fullerton, CA
National Provider Identifier
1760574198
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20A16201 Issued in CA
Practice address
150 Laguna Rd
Fullerton, CA 92835-3614
Phone
(714) 871-9784
NPI assigned
Sep 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 20A16201 CA Primary

Addresses

Primary practice location

150 Laguna Rd
Fullerton, CA 92835-3614

Mailing address

512 Rosarita Dr
Fullerton, CA 92835-1839
Phone (917) 693-9094

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181206001639 CA Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Physical Medicine and Rehabilitation 9335147909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management, Physical Medicine and Rehabilitation
Education
New York College of Osteo Medicine of New York Institute of Technology, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Veritas Anesthesia IncGroup PAC ID 6507118957, 3 clinicians

Practice addresses (Care Compare)

150 Laguna Rd
Suite B
Fullerton, CA 92835-3615
Phone (714) 871-9785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
16201CAMDAcupuncturist
20A16201CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Veritas Anesthesia, Inc. Single Specialty CurrentSince Jun 19, 2018 Accepting new patients
Laguna SC Current Accepting new patients
Milford Anesthesia Associates LLC Single Specialty PastSince Sep 25, 2019 Accepting new patients
Meadowbrook Medical Associates Single Specialty Past Accepting new patients

Locations

150 Laguna Rd
Ste B
Fullerton, CA 92835
Phone (714) 871-9784

Organizations & group practices 4

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": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1760574198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 ROSARITA DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928351839",
            "telephone_number": "917-693-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LAGUNA RD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928353614",
            "telephone_number": "714-871-9784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "LISA",
        "middle_name": "K",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-30",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A16201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.