Individual provider Active NPI

Joon W Rhee, MD PHD MPH

  • Internal Medicine Physician
  • Yucaipa, CA
National Provider Identifier
1881657559
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A77852 Issued in CA
Practice address
34675 Yucaipa Blvd
#102
Yucaipa, CA 92399-4155
Phone
(909) 790-4795
Fax
(909) 790-4796
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A77852 CA Primary

Addresses

Primary practice location

34675 Yucaipa Blvd
#102
Yucaipa, CA 92399-4155

Mailing address

34675 Yucaipa Blvd
#102
Yucaipa, CA 92399-4155
Phone (909) 790-4795

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
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A77852CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
JWR Wellness Clinics, Inc CurrentSince Oct 5, 2015 Accepting new patients

Locations

1895 Orange Tree Ln
Ste 201
Redlands, CA 92374
Phone (909) 335-1160

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1881657559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34675 YUCAIPA BLVD",
            "address_2": "#102",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923994155",
            "telephone_number": "909-790-4795",
            "fax_number": "909-790-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34675 YUCAIPA BLVD",
            "address_2": "#102",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923994155",
            "telephone_number": "909-790-4795",
            "fax_number": "909-790-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHEE",
        "first_name": "JOON",
        "middle_name": "W",
        "credential": "MD PHD MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A77852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.