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DR. DESIREE LORRAINE YLLAN DC
NPI 1811563802
Chiropractor - Sports Physician in Redondo Beach, CA

Active since June 01, 2021
234 S PACIFIC COAST HWY STE 205, REDONDO BEACH, CA 90277(424) 262-3107 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 9, 2025, Dec 27, 2024, Jun 5, 2024 and 3 more (6 updates tracked since 2021).

About Dr. Desiree Lorraine Yllan Dc NPPES

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

DR. DESIREE LORRAINE YLLAN DC (NPI 1811563802) is an individual sports physician in Redondo Beach, California, licensed in California (33618) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1811563802
Entity TypeIndividualFemale
Primary Taxonomy111NS0005X
Provider Legal NameDR. DESIREE LORRAINE YLLANCredential: DC
Location Address234 S PACIFIC COAST HWY STE 205Redondo Beach, CA 90277-7036
Mailing Address1821 Belmont Ln Apt ARedondo Beach, CA 90278-4154 · (408) 429-9793
Phone(424) 262-3107
Sole ProprietorYes
Enumeration DateJune 1, 2021
Last NPPES UpdateApril 17, 20256 updates tracked since enumeration
NPPES CertifiedApril 17, 2025
✔ NPI 1811563802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
License✔ Licensed in CA · 33618
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
Also ListedChiropractorTaxonomy 111N00000X · License 34618 (CA)
Also ListedChiropractor · RadiologyTaxonomy 111NR0200X · License 00207166 (CA)
Also ListedChiropractor · RehabilitationTaxonomy 111NR0400X · License 34618 (CA)
234 S PACIFIC COAST HWY STE 205, Redondo Beach, CA 90277
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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)

Dr. Desiree Lorraine Yllan Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Mission City Community Network, Inc.
19 mi
Mental Health (Including Community Mental Health Center)
4842 HOLLYWOOD BLVD
Hollywood, CA 90027
  • Reassigned Medicare billing, California enrollment
  • 146 clinicians in this Medicare group
NPI 1710102009 (323) 644-1110

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

Other Providers at the Same Location NPPES 4

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

LAYA MARRIAGE AND FAMILY THERAPY, INC.
Marriage & Family Therapist
234 S PACIFIC COAST HWY STE 205
REDONDO BEACH, CA 90277
Los Angeles County (424) 622-8842
SHEILA SOLDIVILLO GILBERT MA, LMFT
Marriage & Family Therapist
234 S PACIFIC COAST HWY STE 205
REDONDO BEACH, CA 90277
Los Angeles County (424) 622-8842
ANNA SOUTHAM PT
Physical Therapist
234 S PACIFIC COAST HWY STE 205
REDONDO BEACH, CA 90277
Los Angeles County (213) 267-1367
ROOT&BRANCH INC.
Clinic/Center (Health Service)
234 S PACIFIC COAST HWY STE 205
REDONDO BEACH, CA 90277
Los Angeles County (562) 794-8207

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 Desiree Yllan's NPI number?

The NPI number for Desiree Yllan is 1811563802. It was assigned to this individual provider in the NPPES registry on June 1, 2021.

Where is Desiree Yllan located?

Desiree Yllan practices at 234 S Pacific Coast Hwy Ste 205, Redondo Beach, CA 90277. The listed phone number is (424) 262-3107.

What is Desiree Yllan's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Desiree Yllan enrolled in Medicare?

Yes. Desiree Yllan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Desiree Yllan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Desiree Yllan reassigns Medicare benefits to Mission City Community Network, Inc. (Hollywood, 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 Desiree Yllan'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 Desiree Yllan was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.