Active NPI
Jane Yoon, MD
- Pediatrics Physician
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A174872
- Practice address
- 18035 Brookhurst Street, Ste 2100
Fountain Valley, CA 92708 - Phone
- (657) 241-9090
- Fax
- (714) 665-4603
- NPI assigned
- Mar 18, 2013
- Last updated
- Apr 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 290787 | NY | |
| Pediatrics Physician | 208000000X | A174872 | CA | Primary |
Addresses
Primary practice location
18035 Brookhurst Street, Ste 2100
Fountain Valley, CA 92708
Mailing address
3091 Sage View CT
Fullerton, CA 92833-5511
Other names 1
- Jae Won Yoon
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://memorialcare.org/fhir/api/FHIR/R4/ | Health Information Exchange (HIE) | MemorialCare Medical Foundation |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A174872 | CA | MD | Pediatrics Physician |
| 290787 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ridgecrest Regional Hospital | Current | Accepting new patients | |
| Memorialcare Medical Foundation | Pediatrics | Current | Accepting new patients |
| Ridgecrest Regional Hospital | Current | Accepting new patients |
Locations
722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300
18035 Brookhurst St
Ste 2100
Fountain Valley, CA 92708
Phone (657) 241-9090
17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592
1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616
1111 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-4571
1111 N China Lake Blvd
#190
Ridgecrest, CA 93555
Phone (760) 499-3855
Organizations & group practices 4
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.
-
- Critical Access Hospital
- Ridgecrest, CA
- NPI 1447253125
-
dba Ridgecrest Regional Hospital Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Ridgecrest, CA
- NPI 1164067971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1912249913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3091 SAGE VIEW CT",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928335511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18035 BROOKHURST STREET, STE 2100",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "92708",
"telephone_number": "657-241-9090",
"fax_number": "714-665-4603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOON",
"first_name": "JANE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-18",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "290787",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A174872",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://memorialcare.org/fhir/api/FHIR/R4/",
"affiliation": "Y",
"endpointDescription": "MemorialCare FHIR Endpoint",
"affiliationName": "MemorialCare Medical Foundation",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "17360 Brookhurst St",
"city": "Fountain Valley",
"state": "CA",
"country_code": "US",
"postal_code": "927083720",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JAE WON",
"last_name": "YOON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.