Active NPI
Timothy Yoon, M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Sacramento, CA
National Provider Identifier
1801934146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- A64572
- Practice address
- 1817 Professional Drive
Sacramento, CA 95825-2106 - Phone
- (916) 977-0741
- Fax
- (916) 977-0547
- NPI assigned
- Feb 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | A64572 | CA | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | A64572 | CA | Primary |
Addresses
Primary practice location
1817 Professional Drive
Sacramento, CA 95825-2106
Mailing address
721 5TH St
Apt 112
West Sacramento, CA 95605-2665
Phone (916) 715-2737
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A64572 | Other | CA | MEDICAL LINCENSE NUMBER |
| P00302519 | Other | CA | RAIL ROAD MEDICARE |
| 127169100 | Other | CA | ACS-US DEPT OF LABOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Interventional Spine, a Medical Corporation | Pain Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Davis, CA
- NPI 1972843399
Pain Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458777600000",
"number": "1801934146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 5TH ST",
"address_2": "APT 112",
"city": "WEST SACRAMENTO",
"state": "CA",
"postal_code": "956052665",
"telephone_number": "916-715-2737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1817 PROFESSIONAL DRIVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958252106",
"telephone_number": "916-977-0741",
"fax_number": "916-977-0547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOON",
"first_name": "TIMOTHY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2016-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "CA",
"license": "A64572",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "CA",
"license": "A64572",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LINCENSE NUMBER",
"identifier": "A64572",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "P00302519",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACS-US DEPT OF LABOR",
"identifier": "127169100",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.