Individual provider Active NPI

Joseph Hyogoo Yi, MD

  • Family Medicine Physician
  • Buena Park, CA
National Provider Identifier
1861565285
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A61574 Issued in CA
Practice address
6301 Beach Blvd
Suite 101
Buena Park, CA 90621-2840
Phone
(714) 994-5290
Fax
(714) 994-8090
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A61574 CA Primary

Addresses

Primary practice location

6301 Beach Blvd
Suite 101
Buena Park, CA 90621-2840

Mailing address

6301 Beach Blvd
Suite 101
Buena Park, CA 90621-2840
Phone (714) 994-5290

Other identifiers 1

IdentifierTypeStateIssuer
00A615740MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050211000156 CA Practitioner - Family Practice 6406808138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Southern California Keck School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6301 Beach Blvd
Suite 101
Buena Park, CA 90621-4030
Phone (714) 994-5290

Hospital & facility affiliations

  • Divine Home Health, Inc Home health agency, La Mirada, CA, CCN 058330
  • Western Home Care, Inc Home health agency, Buena Park, CA, CCN 058077
  • Fast Recovery Home Health Care, Inc Home health agency, Buena Park, CA, CCN 559503
  • Buena Park Nursing Center Nursing home, Buena Park, CA, CCN 055571

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A61574CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anaheim Memorial Medical Center Past Accepting new patients
University of California Irvine Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: joseph.yi@941865024421892.direct.elationemr.com

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861565285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 BEACH BLVD",
            "address_2": "SUITE 101",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212840",
            "telephone_number": "714-994-5290",
            "fax_number": "714-994-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 BEACH BLVD",
            "address_2": "SUITE 101",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212840",
            "telephone_number": "714-994-5290",
            "fax_number": "714-994-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YI",
        "first_name": "JOSEPH",
        "middle_name": "HYOGOO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A61574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A615740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

Verify at the official NPI Registry.