Individual provider Active NPI

Yong C Yun, DC

  • Chiropractor
  • Buena Park, CA
National Provider Identifier
1902125669
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC28923 Issued in CA
Practice address
7700 Orangethorpe Ave
Suite 3
Buena Park, CA 90621-3457
Phone
(714) 670-0007
Fax
(714) 670-0005
NPI assigned
May 20, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC28923 CA Primary
Acupuncturist 171100000X AC9781 CA

Addresses

Primary practice location

7700 Orangethorpe Ave
Suite 3
Buena Park, CA 90621-3457

Mailing address

7700 Orangethorpe Ave
Suite 3
Buena Park, CA 90621-3457
Phone (714) 670-0007

Other identifiers 2

IdentifierTypeStateIssuer
DC28923OtherCACHIROPRACTOR
AC9781OtherCAACUPUNCTURIST

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

State licenses

LicenseStateTypeSpecialty
28923CAMDClinical Social Worker
AC9781CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Korus Medical Center, Inc. Chiropractor PastSince Apr 14, 2015 Accepting new patients

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": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1902125669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 ORANGETHORPE AVE",
            "address_2": "SUITE 3",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906213457",
            "telephone_number": "714-670-0007",
            "fax_number": "714-670-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 ORANGETHORPE AVE",
            "address_2": "SUITE 3",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906213457",
            "telephone_number": "714-670-0007",
            "fax_number": "714-670-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUN",
        "first_name": "YONG",
        "middle_name": "C",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-20",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28923",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC9781",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTOR",
            "identifier": "DC28923",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURIST",
            "identifier": "AC9781",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.