Active NPI
Joan Yvette Sy, D.O.
- Family Medicine Physician
- Laguna Hills, CA
National Provider Identifier
1881710440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A6587
- Practice address
- 24953 Paseo de Valencia
Suite 1a
Laguna Hills, CA 92653-4342 - Phone
- (949) 460-9200
- Fax
- (949) 470-9000
- NPI assigned
- Mar 22, 2007
- Last updated
- Oct 10, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A6587 | CA | Primary |
Addresses
Primary practice location
24953 Paseo de Valencia
Suite 1a
Laguna Hills, CA 92653-4342
Mailing address
5430 Avenida del Tren
Yorba Linda, CA 92887-4900
Phone (909) 489-7386
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 020A65810 | Other | CA | BLUE CROSSBLUE SHIELD |
| G34940 | Other | CA | TRICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
24953 Paseo de Valencia
Suite 1a
Laguna Hills, CA 92653-4342
Phone (949) 460-9200
Hospital & facility affiliations
- Hoag Memorial Hospital Presbyterian
- Memorialcare Saddleback Medical Center
- Providence Mission Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A6587 | CA | MD | Family Medicine Physician |
| 6587 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Joan Sy Medical Corporation | Family Medicine | Current | Accepting new patients |
Locations
62 Corporate Park
Ste 120
Irvine, CA 92606
Phone (949) 654-5344
24953 Paseo de Valencia
Ste 1A
Laguna Hills, CA 92653
Phone (949) 460-9200
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://api.platform.athenahealth.com/3707/brand/1/csg/1/fhir/r4
- joan.sy.1@3707.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
- Laguna Hills, CA
- NPI 1407044589
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
-
dba Providence Mission Hospital
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1912108002
-
dba Mission Hospital
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1992752315
-
- General Acute Care Hospital
- Laguna Hills, CA
- NPI 1275576381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665360000000",
"number": "1881710440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5430 AVENIDA DEL TREN",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928874900",
"telephone_number": "909-489-7386",
"fax_number": "888-749-6344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24953 PASEO DE VALENCIA",
"address_2": "SUITE 1A",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926534342",
"telephone_number": "949-460-9200",
"fax_number": "949-470-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SY",
"first_name": "JOAN",
"middle_name": "YVETTE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2022-10-10",
"certification_date": "2022-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A6587",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSSBLUE SHIELD",
"identifier": "020A65810",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "G34940",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.