Active NPI
Paul S Yoon, D.P.M.
- Podiatrist
- Temecula, CA
National Provider Identifier
1992716641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E4455
- Practice address
- 46408 Vianne CT
Temecula, CA 92592-3328 - Phone
- (760) 689-2038
- NPI assigned
- Aug 10, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | E4455 | CA | |
| Podiatrist | 213E00000X | E4455 | CA | Primary |
Addresses
Primary practice location
46408 Vianne CT
Temecula, CA 92592-3328
Mailing address
46408 Vianne CT
Temecula, CA 92592-3328
Phone (760) 689-2038
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00370483 | Other | RAILROAD MEDICARE |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070118000152 | CA | Practitioner - Podiatry | 7719988740 | Practice locations: Fallbrook, CA; Temecula, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
46408 Vianne CT
Temecula, CA 92592-3328
Phone (760) 689-2038
577 E Elder St
Fallbrook, CA 92028-3079
Phone (760) 689-2038
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 777 |
| Removal or shaving of skin growth | 181 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E4455 | CA | MD | Primary Podiatric Medicine Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reed Foot Clinic | Podiatrist | Past | Accepting new patients |
| Quincy Family Foot Care, PC | Podiatrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Podiatrist
- Quincy, IL
- NPI 1417957929
-
- Podiatrist
- Quincy, IL
- NPI 1497937361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543536000000",
"number": "1992716641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46408 VIANNE CT",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925923328",
"telephone_number": "760-689-2038",
"fax_number": "760-990-4722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46408 VIANNE CT",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925923328",
"telephone_number": "760-689-2038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOON",
"first_name": "PAUL",
"middle_name": "S",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2018-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "CA",
"license": "E4455",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E4455",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00370483",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2018; 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.
- 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.