Active NPI
Hyegyeong Jo, BSN, RN, PHN
- Registered Nurse
- San Diego, CA
National Provider Identifier
1083320261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95255299
- Practice address
- 5530 Overland Ave
San Diego, CA 92123-1260 - Phone
- (858) 694-3900
- NPI assigned
- Jan 30, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95255299 | CA | Primary |
Addresses
Primary practice location
5530 Overland Ave
San Diego, CA 92123-1260
Mailing address
1991 Edison CT
Chula Vista, CA 91915-1459
Phone (619) 354-0205
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 564940 | Other | CA | PHN LICENSE # |
| 95255299 | Other | CA | RN LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95255299 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675036800000",
"number": "1083320261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1991 EDISON CT",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919151459",
"telephone_number": "619-354-0205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5530 OVERLAND AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231260",
"telephone_number": "858-694-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JO",
"first_name": "HYEGYEONG",
"credential": "BSN, RN, PHN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-30",
"last_updated": "2023-01-30",
"certification_date": "2023-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95255299",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHN LICENSE #",
"identifier": "564940",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE #",
"identifier": "95255299",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
- Michele A. Jiu, MD
- Nicholas R Jize, DDS
- JJ Physicians Group, Inc.
- JJ Rejuvenation Healing Center, Inc.
- Jmjnt Corporation
- Joa Development
- Joanna R Benavidez PHD Clinical Psychologist
- Joanne Copps DDS Dental Corporation
- Joanne J. Wendt, PH.D., Clinical Psychologist, Inc.
- Joanne M. Hamilton Psychologist a Professional Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.