Active NPI
Kelvin Sungwon Yoo, D.C
- Chiropractor
- Pomona, CA
National Provider Identifier
1972918357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 32968
- Practice address
- 2772 Paradise St
Pomona, CA 91767-2281 - Phone
- (562) 756-1391
- NPI assigned
- Jun 24, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 32968 | CA | Primary |
Addresses
Primary practice location
2772 Paradise St
Pomona, CA 91767-2281
Mailing address
2772 Paradise St
Pomona, CA 91767-2281
Phone (562) 756-1391
Other names 1
- Sung Won Yoo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150924000444 | CA | Practitioner - Chiropractic | 0547577538 | Practice locations: Anaheim, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6200 E Canyon Rim Rd
109D
Anaheim, CA 92807-4314
Phone (562) 448-2807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evolve Integrative Health, Inc. | Chiropractor | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403568000000",
"number": "1972918357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2772 PARADISE ST",
"city": "POMONA",
"state": "CA",
"postal_code": "917672281",
"telephone_number": "562-756-1391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2772 PARADISE ST",
"city": "POMONA",
"state": "CA",
"postal_code": "917672281",
"telephone_number": "562-756-1391"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOO",
"first_name": "KELVIN",
"middle_name": "SUNGWON",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-24",
"last_updated": "2014-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "32968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUNG",
"last_name": "YOO",
"middle_name": "WON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.