Jae Whan Yoon, M.D

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A36791 Issued in CA

Practice address

414 E San Bernardino Rd
Covina, CA 91723-1704

Phone

(626) 915-5181

Fax

(626) 331-2313

NPI assigned

Feb 7, 2006

Last updated

Oct 23, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Focus Medical Imaging

  • Diagnostic Radiology Physician
  • Monrovia, CA
  • NPI 1528299989
  Medicare reassignment NPD
• Glendora Radiological Assoc Inc

  • Diagnostic Radiology Physician
  • Covina, CA
  • NPI 1992797070
  Medicare reassignment NPD
• Focus Medical Imaging

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1700226933
  NPD (past)

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1952373508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 5010",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917400735",
            "telephone_number": "626-915-5181",
            "fax_number": "626-331-2313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E SAN BERNARDINO RD",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231704",
            "telephone_number": "626-915-5181",
            "fax_number": "626-331-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOON",
        "first_name": "JAE",
        "middle_name": "WHAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A36791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A367910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lincoln S Yee, M.D.
• Gloria Yeh
• Meliza Lizvet Yepez
• Vincent Yerena-Maldonado
• Morris Chuk Ming Yip, DDS PHD
• Kyle Bradley Yoshihara, ACSW
• Yuki You
• Emad Youakim, R.P.H.
• Britney Young
• Christie Young, LCSW

• Diagnostic Radiology Physician in Covina, CA
• Providers in Covina, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.

Verify at the official NPI Registry.