Active NPI
Yivory Healthcare Inc.
- Family Medicine Physician
- Rancho Santa Margarita, CA
National Provider Identifier
1801623558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- YIVORY HEALTHCARE INC.
- Practice address
- 30021 Tomas Ste 300
Rancho Santa Margarita, CA 92688-2128 - Phone
- (888) 857-9528
- Fax
- (305) 766-0219
- NPI assigned
- Sep 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Avery Williams
- Title
- Ceo
- Phone
- (925) 321-6353
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
30021 Tomas Ste 300
Rancho Santa Margarita, CA 92688-2128
Mailing address
30021 Tomas Ste 300
Rancho Santa Margarita, CA 92688-2128
Phone (888) 857-9528
National Provider Directory
National Provider DirectoryLocations
30021 Tomas
Ste 300
Rcho Sta Marg, CA 92688
Phone (888) 857-9528
Practitioners & affiliated clinicians
Practitioners 1
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": "1726531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726531200000",
"number": "1801623558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30021 TOMAS STE 300",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "926882128",
"telephone_number": "888-857-9528",
"fax_number": "305-766-0219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30021 TOMAS STE 300",
"city": "RANCHO SANTA MARGARITA",
"state": "CA",
"postal_code": "926882128",
"telephone_number": "888-857-9528",
"fax_number": "305-766-0219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YIVORY HEALTHCARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-17",
"last_updated": "2024-09-17",
"certification_date": "2024-08-28",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "AVERY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "925-321-6353"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Santa Margarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.