Individual provider Active NPI

Jesse Yuson, D.C.

  • Chiropractor
  • Van Nuys, CA
National Provider Identifier
1992998025
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
30653 Issued in CA
Practice address
15355 Sherman Way
Ste Q
Van Nuys, CA 91406-4200
Phone
(818) 627-6956
Fax
(818) 627-1404
NPI assigned
Aug 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 30653 CA Primary

Addresses

Primary practice location

15355 Sherman Way
Ste Q
Van Nuys, CA 91406-4200

Mailing address

15355 Sherman Way
Ste Q
Van Nuys, CA 91406-4200
Phone (818) 627-6956

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080111000148 CA Practitioner - Chiropractic 3971684390 Practice locations: Van Nuys, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15355 Sherman Way
Suite Q
Van Nuys, CA 91406-4200
Phone (818) 627-6956

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30653CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jesse Yuson DC Inc Chiropractor CurrentSince Jul 9, 2025 Accepting new patients

Locations

15355 Sherman Way
Ste Q
Van Nuys, CA 91406
Phone (818) 627-6956

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": "1187740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1992998025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15355 SHERMAN WAY",
            "address_2": "STE Q",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064200",
            "telephone_number": "818-627-6956",
            "fax_number": "818-627-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15355 SHERMAN WAY",
            "address_2": "STE Q",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064200",
            "telephone_number": "818-627-6956",
            "fax_number": "818-627-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUSON",
        "first_name": "JESSE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-22",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; 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.

Verify at the official NPI Registry.