Active NPI
Jonathan H Yim
- Occupational Therapist
- Los Angeles, CA
National Provider Identifier
1992045397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 355597
- Practice address
- 4867 W Sunset Blvd
Los Angeles, CA 90027-5969 - Phone
- (800) 954-8000
- NPI assigned
- Feb 21, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 355597 | CA | Primary |
Addresses
Primary practice location
4867 W Sunset Blvd
Los Angeles, CA 90027-5969
Mailing address
432 S Harvard Blvd Apt 121
Los Angeles, CA 90020-3419
Phone (562) 743-0700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 355597 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463097600000",
"number": "1992045397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 S HARVARD BLVD APT 121",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900203419",
"telephone_number": "562-743-0700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4867 W SUNSET BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900275969",
"telephone_number": "800-954-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YIM",
"first_name": "JONATHAN",
"middle_name": "H",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-21",
"last_updated": "2016-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "355597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.