Kwon Chae Yi, CERTIFIED PROSTHETIS

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Practice address

2550 Beverly Boulevard
Suite 201
Los Angeles, CA 90057-1035

Phone

(213) 388-5847

Fax

(213) 388-5848

NPI assigned

Aug 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Mr. Kwon Jae Yi Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Precision Orthotics & Prosthetics Inc

  • Prosthetic/Orthotic Supplier
  • Huntington Park, CA
  • NPI 1285640979
  NPD Authorized official
• Precision Orthotics & Prosthetics, Inc

  • Prosthetic/Orthotic Supplier
  • Victorville, CA
  • NPI 1538466644
  NPD Authorized official

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902910235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 BEVERLY BOULEVARD",
            "address_2": "SUITE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571035",
            "telephone_number": "213-388-5847",
            "fax_number": "213-388-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 BEVERLY BOULEVARD",
            "address_2": "SUITE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571035",
            "telephone_number": "213-388-5847",
            "fax_number": "213-388-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YI",
        "first_name": "KWON",
        "middle_name": "CHAE",
        "name_prefix": "Mr.",
        "credential": "CERTIFIED PROSTHETIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "ZZZ655562",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XB0023570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KWON",
            "last_name": "YI",
            "middle_name": "JAE",
            "prefix": "MR.",
            "credential": "CERTIFIED PROSTHETIS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jin Yi, DMD
• Jonathan Yi
• Joseph C Yi, M.D.
• Kathleen Ah Rin Yi, MSW, ACSW
• Kil H Yi, PHARM.D.
• Larry Yi, PA-C
• Madeline Yi
• Mingyu Yi
• Ok Sun Yi, ACUPUNCTURIST
• Peace P Yi, DDS

• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.