Active NPI
Joanne B Yoon, OD
- Optometrist
- Cerritos, CA
National Provider Identifier
1811973878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12676T
- Practice address
- 11900 South St Ste 121
Cerritos, CA 90703-6800 - Phone
- (562) 809-4041
- NPI assigned
- Dec 21, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12676 | CA | |
| Optometrist | 152W00000X | 12676T | CA | Primary |
Addresses
Primary practice location
11900 South St Ste 121
Cerritos, CA 90703-6800
Mailing address
2525 Threewoods LN
Fullerton, CA 92831-1060
Phone (714) 928-0927
Other practice location 1
18430 Brookhurst St Suite 100
Fountainvalley, CA 92708
Phone (714) 968-9121
Other names 1
- Joanne Yoon
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12676T | CA | MD | Optometrist |
| 12676 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538524800000",
"number": "1811973878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 THREEWOODS LN",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928311060",
"telephone_number": "714-928-0927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11900 SOUTH ST STE 121",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907036800",
"telephone_number": "562-809-4041"
}
],
"practiceLocations": [
{
"address_1": "18430 Brookhurst St Suite 100",
"address_purpose": "LOCATION",
"city": "Fountainvalley",
"state": "CA",
"postal_code": "92708",
"country_code": "US",
"telephone_number": "714-968-9121",
"fax_number": "714-962-6521",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOON",
"first_name": "JOANNE",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-21",
"last_updated": "2018-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12676",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12676T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOANNE",
"last_name": "YOON",
"credential": "OD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.