Organization Active NPI

Yivory Healthcare Inc.

  • Family Medicine Physician
  • Rancho Santa Margarita, CA
National Provider Identifier
1801623558
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Sep 17, 2024

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.