Individual provider Active NPI

Joseph C Yi, M.D.

  • Anesthesiology Physician
  • Los Angeles, CA
National Provider Identifier
1902821390
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A94478 Issued in CA
Practice address
5757 Wilshire Blvd Ste 376
Los Angeles, CA 90036-3683
Phone
(323) 935-9367
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A94478 CA Primary

Addresses

Primary practice location

5757 Wilshire Blvd Ste 376
Los Angeles, CA 90036-3683

Mailing address

501 West Olympic Blvd
Unit 516
Los Angeles, CA 90015
Phone (412) 657-8550

Other identifiers 1

IdentifierTypeStateIssuer
00A944780MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060826000083 CA Practitioner - Anesthesiology 3678577095 Practice locations: Beverly Hills, CA; San Gabriel, CA; Monterey Park, CA; Los Angeles, CA; Glendale, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A94478CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiance Anesthesia Group Inc. Anesthesiology CurrentSince Sep 22, 2018 Accepting new patients
Beverly Hills Doctors Surgery Center LLC Past Accepting new patients
Raymond Badillo, M.D., a Medical Corporation Anesthesiology PastSince May 17, 2014 Accepting new patients
Samaritan Anesthesiology Medical Group Anesthesiology PastSince Sep 23, 2024 Accepting new patients
Hooman Shabatian MD, a Medical Corporation Past Accepting new patients
Beverly Hills Doctors Surgery Center, LLC Past Accepting new patients

Locations

720 W Broadway
Glendale, CA 91204
Phone (310) 888-0115

Organizations & group practices 6

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1902821390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 WEST OLYMPIC BLVD",
            "address_2": "UNIT 516",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90015",
            "telephone_number": "412-657-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 WILSHIRE BLVD STE 376",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363683",
            "telephone_number": "323-935-9367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YI",
        "first_name": "JOSEPH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A94478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A944780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.