Organization Active NPI

Young Prosthetics Othotics, Inc.

  • Prosthetic/Orthotic Supplier
  • Anaheim, CA
National Provider Identifier
1952346801
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
CPO02341
Legal business name
YOUNG PROSTHETICS OTHOTICS, INC.
Practice address
516 S Beach Blvd
Anaheim, CA 92804-1811
Phone
(714) 220-9352
NPI assigned
Jun 17, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Yong Yeol Oh, C.P.O.
Title
President
Phone
(714) 220-9352

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 103572 CA
Prosthetic/Orthotic Supplier 335E00000X CPO02341 Primary

Addresses

Primary practice location

516 S Beach Blvd
Anaheim, CA 92804-1811

Mailing address

516 S Beach Blvd
Anaheim, CA 92804-1811
Phone (714) 220-9352

Other identifiers 1

IdentifierTypeStateIssuer
XB0025670MedicaidCA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Young Prosthetics Orthotics516 S Beach Blvd, Anaheim, CA 92804-1811(714) 220-9352 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Jan 1, 2002

National Provider Directory

National Provider Directory

Locations

516 S Beach Blvd
Anaheim, CA 92804
Phone (714) 220-9352

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1952346801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 S BEACH BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041811",
            "telephone_number": "714-220-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 S BEACH BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928041811",
            "telephone_number": "714-220-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG PROSTHETICS OTHOTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "YONG",
        "authorized_official_middle_name": "YEOL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-220-9352",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103572",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": "CPO02341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XB0025670",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.