Carmen Jan Yoo

Primary specialty

OptometristTaxonomy code 152W00000X

License

11663TPL Issued in CA

Legal business name

CARMEN JAN YOO

Practice address

15057 Goldenwest St
Huntington Beach, CA 92647-2710

Phone

(714) 894-5556

Fax

(714) 895-3126

NPI assigned

Apr 28, 2009

Last updated

Sep 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carmen Jan Yoo, O. D.

Title

President

Phone

(714) 894-5556

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zaina Khan, O.D.

  • Optometrist
  • Huntington Beach, CA
  • NPI 1255643599
  NPD (past)
• Kashif Qadeer, O.D.

  • Optometrist
  • Santa Ana, CA
  • NPI 1447410477
  NPD (past)
• Samuel Victor Stella, O.D.

  • Optometrist
  • Huntington Beach, CA
  • NPI 1275635179
  NPD (past)
• Paul Byoungjae Yoo, O.D

  • Optometrist
  • Anaheim, CA
  • NPI 1417934316
  NPD (past)

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1912141441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15057 GOLDENWEST ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472710",
            "telephone_number": "714-894-5556",
            "fax_number": "714-895-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15057 GOLDENWEST ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926472710",
            "telephone_number": "714-894-5556",
            "fax_number": "714-895-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEN JAN YOO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "JAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-894-5556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11663TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD005590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carissa Karner
• Samuel Alan Carlis, D.O.
• Melanie Lynn Carlone
• Gary David Carlsen, DDS
• Michael Lloyd Carlson, RPT
• Andrea Jean Carmody, MED, BCBA
• Maria Carmona
• Bonnie Carnes
• Azlynn Caro
• Alexis Carpenter

• Optometrist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.