Active NPI
Elisa K. Yoo, M.D.
- MOHS-Micrographic Surgery Physician
- Los Alamitos, CA
National Provider Identifier
1811942493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- A86311
- Practice address
- 3801 Katella Ave
Suite 414
Los Alamitos, CA 90720-3338 - Phone
- (562) 430-9900
- Fax
- (562) 430-6069
- NPI assigned
- May 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | A86311 | CA | Primary |
Addresses
Primary practice location
3801 Katella Ave
Suite 414
Los Alamitos, CA 90720-3338
Mailing address
3801 Katella Ave
Suite 414
Los Alamitos, CA 90720-3338
Phone (562) 430-9900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W19753 | Other | CA | PTAN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Perelman School of Med at the University of Pennsylvania, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3801 Katella Ave
Suite 414
Los Alamitos, CA 90720-3386
Phone (562) 430-9900
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 144 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1916 |
| Removal of skin cancer | 357 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 41 |
| Skin biopsy | 1115 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elisa K. Yoo, M.D., P.C. | Mohs-Micrographic Surgery | Current | Accepting new patients |
| Michael K. Kim, M.D. | Current | Accepting new patients | |
| Michael K. Kim, M.D., a Professional Corporation | Current | Accepting new patients | |
| Los Alamitos Medical Center, Inc. | Past | Accepting new patients |
Locations
3801 Katella Ave
Ste 414
Los Alamitos, CA 90720
Phone (562) 430-6065
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- MOHS-Micrographic Surgery Physician
- Los Alamitos, CA
- NPI 1124065099
-
- Facial Plastic Surgery Physician
- Los Alamitos, CA
- NPI 1306883277
-
- Otolaryngology/Facial Plastic Surgery Physician
- Los Alamitos, CA
- NPI 1346282308
-
- Psychiatric Hospital Unit
- Los Alamitos, CA
- NPI 1497780084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483056000000",
"number": "1811942493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 KATELLA AVE",
"address_2": "SUITE 414",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907203338",
"telephone_number": "562-430-9900",
"fax_number": "562-430-6069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 KATELLA AVE",
"address_2": "SUITE 414",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907203338",
"telephone_number": "562-430-9900",
"fax_number": "562-430-6069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOO",
"first_name": "ELISA",
"middle_name": "K.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2016-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "CA",
"license": "A86311",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "W19753",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Alamitos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.