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TAE YOON NP
NPI 1205542834
Nurse Practitioner - Adult Health in Fullerton, CA

Active since January 26, 2023PECOS Enrolled
1400 N HARBOR BLVD STE 103, FULLERTON, CA 92835(626) 993-8278 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Tae Yoon Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAE YOON NP (NPI 1205542834) is an individual adult health provider in Fullerton, California, licensed in California (95021116) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205542834
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameTAE YOONCredential: NP
Location Address1400 N HARBOR BLVD STE 103Fullerton, CA 92835-4107
Mailing Address1400 N Harbor Blvd Ste 103Fullerton, CA 92835-4107
Phone(626) 993-8278
Sole ProprietorYes
Enumeration DateJanuary 26, 2023
NPPES CertifiedJune 2, 2022
✔ NPI 1205542834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · 95021116
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 95021116 (CA)
1400 N HARBOR BLVD STE 103, Fullerton, CA 92835
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tae Yoon Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tae Yoon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Altea Medical California PC
586 mi
Geriatric Medicine
2353 23RD ST
Eureka, CA 95501
  • Reassigned Medicare billing, California enrollment
  • 111 clinicians in this Medicare group
NPI 1174302954 (888) 408-7008

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
425 services80 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
290 services56 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
89 services34 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
62 services27 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92835 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOOJIN LEE
Nurse Practitioner (Family)
1400 N HARBOR BLVD STE 103
FULLERTON, CA 92835
Orange County (213) 422-0306
DR. BO YOUNG SUH MD
Obstetrics & Gynecology (Gynecology)
1400 N HARBOR BLVD STE 103
FULLERTON, CA 92835
Orange County (714) 643-9203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tae Yoon's NPI number?

The NPI number for Tae Yoon is 1205542834. It was assigned to this individual provider in the NPPES registry on January 26, 2023.

Where is Tae Yoon located?

Tae Yoon practices at 1400 N Harbor Blvd Ste 103, Fullerton, CA 92835. The listed phone number is (626) 993-8278.

What is Tae Yoon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Tae Yoon enrolled in Medicare?

Yes. Tae Yoon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tae Yoon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tae Yoon reassigns Medicare benefits to Altea Medical California PC (Eureka, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tae Yoon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tae Yoon was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.