DR. EDWARD YOUN (NPI# 1235472754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235472754 |
| Entity Type | Individual |
| Full Name | DR. EDWARD YOUN |
| Credential | DPM |
| Practice Address |
4053 Lone Tree Way Ste 200 Antioch CA 94531 |
| Mailing Address |
325 Distel Cir Los Altos CA 94022-1408 |
| Practice Telephone | 9257767725 |
| Practice Fax Number | 5105067728 |
| Mailing Telephone | 6508457649 |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2019-09-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
EL5217 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | AMERICAN BOARD OF FOOT & ANKLE SURGERY | 17021 | 01 |
| CA | STATE MEDICAL LICENSE | E5217 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1701 E Cesar E Chavez Ave, Los Angeles, CA 900332464 | 3239871362 | |
| 350 John Muir Pkwy Ste 140, Brentwood, CA 945135190 | 9255132483 | 5105067727 |
| 12 Camino Encinas, Orinda, CA 945633304 | 5102048168 | 5105067724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760033377 | Edward Youn | Nurse Practitioner | 619 19th St S, Birmingham, AL 35249-1932 | 2019-09-25 |
| Street Address |
4053 LONE TREE WAY STE 200 |
| City | ANTIOCH |
| State | CA |
| Zip Code | 94531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720043862 | Sabri Sen | Urology | 4053 Lone Tree Way Ste 200, Antioch, CA 94531-6210 | 2006-04-20 |
| 1134355787 | Gulmohor D Roy | Psychiatry & Neurology | 4053 Lone Tree Way Ste 200, Antioch, CA 94531-6210 | 2009-06-09 |
| 1376781575 | Vipul Gupta | Internal Medicine | 4053 Lone Tree Way Ste 200, Antioch, CA 94531 | 2009-01-26 |
| 1295885002 | Pascal R. Fuchshuber | Family Medicine | 4053 Lone Tree Way Ste 200, Antioch, CA 94531 | 2007-01-12 |
| 1912004367 | Brent Seiji Izu | Surgery | 4053 Lone Tree Way Ste 200, Antioch, CA 94531-6210 | 2006-09-20 |
| 1295759355 | Christopher Solis | Surgery | 4053 Lone Tree Way Ste 200, Antioch, CA 94531-6210 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406051 | Jayden Mendoza | Behavior Technician | 4849 Lone Tree Way Suite C, Antioch, CA 94531 | 2020-10-28 |
| 1093369720 | Lorena N/a Lepezmagana I | Behavior Technician | 4856 Weler Peak Way, 4856 Wexler Peak Way, Antioch, CA 94531 | 2019-07-31 |
| 1063976538 | Donna C Martinez | Respiratory Therapist, Registered | 4509 Sand Creek Rd, Antioch, CA 94531 | 2019-01-29 |
| 1215428107 | Sierra Singharath | Behavioral Analyst | 5344 Catanzaro Way, Antioch, CA 94531 | 2018-05-25 |
| 1972005551 | Meily Samantha Reyna | Behavioral Analyst | 1858 Mount Goethe Way, Antioch, CA 94531 | 2018-02-28 |
| 1225536477 | Constance Eileen Matous | Physical Therapy Assistant | 4041 Lone Tree Way Suite # 106, Antioch, CA 94531 | 2018-01-23 |
| 1851825921 | Alexander Lim Dds Inc | Dentist | 5171 Lone Tree Way, Antioch, CA 94531 | 2017-04-17 |
| 1467831222 | Jaylan Ishac | Behavioral Analyst | 4749 Crestone Peak Ct, Antioch, CA 94531 | 2015-05-27 |
| 1164831830 | Akape Home Care Agency | Home Health | 2487 Stanford Way, Ste 1a, Antioch, CA 94531 | 2014-08-07 |
| 1679992515 | Joseph Vojtko | Ophthalmology | 4501 Sand Creek Rd Dept Of, Antioch, CA 94531 | 2014-04-08 |
| Find all providers in zip 94531 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578672291 | Depenndable Footcare, PC | Podiatrist | 3408 Bridgeton Cove, Antioch, TN 37013 | 2006-08-29 |
| 1952608077 | Michael W Nielsen | Podiatrist | 4501 Sand Creek Rd, Antioch, CA 94531-8687 | 2011-02-25 |
| 1013044411 | Wen-yin Choi | Podiatrist | 4053 Lone Tree Way, Antioch, CA 94531-6200 | 2007-02-27 |
| 1548364094 | James Roy Boccio | Podiatrist | 3700 Sunset Ln, Suite 1, Antioch, CA 94509-6199 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528726 | Millennium Foot and Ankle Institute PC | Podiatrist | 26235 Ravenhill Rd, Santa Clarita, CA 91387-4046 | 2020-11-02 |
| 1861008054 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 5471 La Palma Ave Ste 106, La Palma, CA 90623-1792 | 2020-09-22 |
| 1174139356 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 4911 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1746 | 2020-09-22 |
| 1093327231 | Upperline Healthcare California PC | Podiatrist | 2131 San Joaquin Hills Rd, Newport Beach, CA 92660-6507 | 2020-08-19 |
| 1841815545 | Kenny Au Quach | Podiatrist | 17100 Euclid St # 4004, Fountain Valley, CA 92708-4004 | 2020-06-09 |
| 1417579129 | Central California Leg, Foot, and Ankle Center, Inc. | Podiatrist | 11325 Park Square Dr Apt D204, Bakersfield, CA 93311-8854 | 2020-05-15 |
| 1487282109 | Laura Y Lee, Dpm Inc | Podiatrist | 5525 Forestwood Dr, Sacramento, CA 95842-2128 | 2020-03-29 |
| 1780211458 | Dupontdpm Inc. | Podiatrist | 651 1st St W Ste C, Sonoma, CA 95476-7046 | 2020-03-24 |
| 1659903722 | Bay Area Foot Care, Inc | Podiatrist | 5924 Stoneridge Dr Ste 102, Pleasanton, CA 94588-2750 | 2020-02-06 |
| 1780215210 | Albert Elhiani Dpm Inc | Podiatrist | 9340 W Pico Blvd Ste 2, Los Angeles, CA 90035-1255 | 2020-02-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.