Individual provider Active NPI

Joanne B Yoon, OD

  • Optometrist
  • Cerritos, CA
National Provider Identifier
1811973878
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12676T Issued in CA
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

Updated by the provider on Oct 3, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
12676TCAMDOptometrist
12676CAMDOccupational 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.

Verify at the official NPI Registry.