Individual provider Active NPI

Paul S Yoon, D.P.M.

  • Podiatrist
  • Temecula, CA
National Provider Identifier
1992716641
Registry record updated Nov 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4455 Issued in CA
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

Updated by the provider on Nov 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00370483OtherRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Removal of nail tissue777
Removal or shaving of skin growth181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4455CAMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Reed Foot Clinic Podiatrist Past Accepting new patients
Quincy Family Foot Care, PC Podiatrist PastSince Jan 14, 2003 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.

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

Verify at the official NPI Registry.