Kyung Kook Ro, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

C51432 Issued in CA

Practice address

12601 Garden Grove Blvd
Garden Grove, CA 92843

Phone

(714) 636-0342

Fax

(714) 636-0391

NPI assigned

Aug 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kyung K. Ro, M.D., Professional Corporation

  • Anesthesiology Physician
  • Garden Grove, CA
  • NPI 1831378637
  Authorized official Same address or phone
• Gary Chinghuei Kao MD Inc

  • Anesthesiology Physician
  • Garden Grove, CA
  • NPI 1063647774
  NPD (past)
• Abbott Anesthesiologist Associates PC

  • Specialist
  • Buffalo, NY
  • NPI 1902025513
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428883200000",
    "number": "1023126869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 788",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925460788",
            "telephone_number": "714-636-0343",
            "fax_number": "714-636-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12601 GARDEN GROVE BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92843",
            "telephone_number": "714-636-0342",
            "fax_number": "714-636-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RO",
        "first_name": "KYUNG",
        "middle_name": "KOOK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2015-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "C51432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C514320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Quinn Rivers
• Riverview Medical Group, Inc
• Ma. Cristina Divina Rivilla, PTA
• Fizza Rizvi
• Iqra Rizwan
• Grace Robbins
• Kenietra Ann Roberson
• Kaydynn Roberti
• Cathleen M Roberts, CATC
• Frances Cecile Roberts, ACSW

• Anesthesiology Physician in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.