Active NPI
Christine Huong Thu Yep, PA-C
- Physician Assistant
- San Juan Capistrano, CA
National Provider Identifier
1871071761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 56151
- 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, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5908 | OK | MD | Clinical Social Worker |
| 19360 | TX | MD | Dentist |
| 56151 | CA | MD | Endodontist |
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- San Juan Capistrano, CA
- NPI 1255490678
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.