Kevin Yoo, M.D. Apc

Primary specialty

SpecialistTaxonomy code 174400000X

License

G86513 Issued in CA

Legal business name

KEVIN YOO, M.D. APC

Doing business as

Palomar Neurosurgery Center

Practice address

4150 Regents Park Row Ste 325
La Jolla, CA 92037-9102

Phone

(858) 909-9033

Fax

(858) 429-4009

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Frank Kevin Yoo, MDNPI 1295774545

Title

President

Phone

(858) 909-9033

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Palomar Neurosurgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Eye Surgery Ctr of So Calif a Med Group

  dba Tri-City Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Vista, CA
  • NPI 1619926755

  O20040728001701

  Same enrollment

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frank Kevin Yoo, M.D.

  • Specialist
  • La Jolla, CA
  • NPI 1295774545
  Medicare reassignment Care Compare group Authorized official
• Kaye Lim Elamparo, NP

  • Nurse Practitioner
  • La Jolla, CA
  • NPI 1851673610
  Medicare reassignment Care Compare group NPD
• Ashley Staley

  • Physician Assistant
  • Poway, CA
  • NPI 1558243725
  Medicare reassignment Care Compare group NPD
• Leneia Cruz

  • Family Nurse Practitioner
  • Chula Vista, CA
  • NPI 1184459927
  Medicare reassignment NPD
• Olivia Jane Wilson, PA-C

  • Physician Assistant
  • La Jolla, CA
  • NPI 1962362020
  Medicare reassignment NPD (past)
• Olivia Katherine Azzopardi

  • Physician Assistant
  • La Jolla, CA
  • NPI 1215753124
  Medicare reassignment
• Heather H Yoo, DACM

  • Acupuncturist
  • La Jolla, CA
  • NPI 1639943798
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1881785624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9921 CARMEL MOUNTAIN RD",
            "address_2": "#190",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292813",
            "telephone_number": "858-909-9033",
            "fax_number": "858-429-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 REGENTS PARK ROW STE 325",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920379102",
            "telephone_number": "858-909-9033",
            "fax_number": "858-429-4009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9834 Genesee Ave",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371223",
            "country_code": "US",
            "telephone_number": "858-485-8022",
            "fax_number": "858-815-6820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KEVIN YOO, M.D. APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-04-18",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-909-9033",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G86513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL LICENSE NUMBER",
            "identifier": "G86513",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00410632",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP ID",
            "identifier": "DG0405",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palomar Neurosurgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christy L. Kerr, P.A.-C.
• James H. Kerr, M.D.
• Natalie Pinkerton Kessler, MD
• Christine M. Kettler, N.P.
• Amiya Jade Keturi, RBT
• Kevory Holding Company, Inc. (La Jolla Casa Fiesta)
• Teresa L Key, PH.D.
• Jenique Brianne Keys
• Dena Khaef Panah
• Maryam Khalil

• Specialist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.