Organization Active NPI

Muskogee Rehabilitation Clinic Inc

  • Physical Medicine & Rehabilitation Physician
  • Bakersfield, CA
National Provider Identifier
1770520678
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
C43367 Issued in CA
Legal business name
MUSKOGEE REHABILITATION CLINIC INC
Practice address
3550 Q Street
Suite 201
Bakersfield, CA 93301
Phone
(661) 336-0700
Fax
(661) 336-0200
NPI assigned
May 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jay H Yoo, MD
Title
President
Phone
(661) 336-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X C43367 CA Primary

Addresses

Primary practice location

3550 Q Street
Suite 201
Bakersfield, CA 93301

Mailing address

6912 Iron Oak Drive
Bakersfield, CA 93312-5048
Phone (661) 336-0700

Other identifiers 1

IdentifierTypeStateIssuer
OOC433670MedicaidCA

Other names 1

  • Dr Yoos Rehab and Pain Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770520678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 IRON OAK DRIVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933125048",
            "telephone_number": "661-336-0700",
            "fax_number": "661-392-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 Q STREET",
            "address_2": "SUITE 201",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93301",
            "telephone_number": "661-336-0700",
            "fax_number": "661-336-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSKOGEE REHABILITATION CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-336-0700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "C43367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOC433670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Yoos Rehab and Pain Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.