Individual provider Active NPI

Christine Huong Thu Yep, PA-C

  • Physician Assistant
  • San Juan Capistrano, CA
National Provider Identifier
1871071761
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
56151 Issued in CA
Practice address
30448 Rancho Viejo Rd Ste 150
San Juan Capistrano, CA 92675-1572
Phone
(949) 489-0773
Fax
(949) 489-9342
NPI assigned
Aug 1, 2018
Last updated
Aug 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5908 OK
Physician Assistant 363A00000X 19360 TX
Physician Assistant 363A00000X 56151 CA Primary

Addresses

Primary practice location

30448 Rancho Viejo Rd Ste 150
San Juan Capistrano, CA 92675-1572

Mailing address

30448 Rancho Viejo Rd Ste 150
San Juan Capistrano, CA 92675-1572
Phone (949) 489-0773

Other practice location 1

10780 Santa Monica Blvd Ste 105
Los Angeles, CA 90025-7613
Phone (424) 521-1066

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220331001301 CA Practitioner - Physician Assistant 2062808025 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5908OKMDClinical Social Worker
19360TXMDDentist
56151CAMDEndodontist

Interoperability endpoints

  • Direct secure messaging: christine.pham.1@21138.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1871071761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30448 RANCHO VIEJO RD STE 150",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751572",
            "telephone_number": "949-489-0773",
            "fax_number": "949-489-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30448 RANCHO VIEJO RD STE 150",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751572",
            "telephone_number": "949-489-0773",
            "fax_number": "949-489-9342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10780 Santa Monica Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900257613",
            "country_code": "US",
            "telephone_number": "424-521-1066",
            "fax_number": "424-326-8553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEP",
        "first_name": "CHRISTINE",
        "middle_name": "HUONG THU",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "5908",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "19360",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "56151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

Verify at the official NPI Registry.