Active NPI
Teresa Kyu Thin Khoo, MD
- Infectious Disease Physician
- La Puente, CA
National Provider Identifier
1114361813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- A140938
- Practice address
- 18335 E Valley Blvd
La Puente, CA 91744-5968 - Phone
- (714) 547-7008
- NPI assigned
- Apr 24, 2013
- Last updated
- Jan 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | A140938 | CA | Primary |
Addresses
Primary practice location
18335 E Valley Blvd
La Puente, CA 91744-5968
Mailing address
18335 E Valley Blvd
La Puente, CA 91744-5968
Other practice location 1
10201 66th Rd
Forest Hills, NY 11375-2029
Phone (510) 386-6482
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A140938 | Other | CA | STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | khooteresamd@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18335 E Valley Blvd
La Puente, CA 91744-5968
Phone (626) 810-3330
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A140938 | CA | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Infectious Disease Physicians Medical Group Inc | Single Specialty | Current | Accepting new patients |
| Sunshine Infectious Disease Medical Group | Infectious Disease | Current | Accepting new patients |
Locations
18335 E Valley Blvd
La Puente, CA 91744
Phone (626) 810-3330
Organizations & group practices 2
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.
-
- Infectious Disease Physician
- La Puente, CA
- NPI 1114347507
Single Specialty
-
- Infectious Disease Physician
- Anaheim, CA
- NPI 1700610045
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AHMC Anaheim Regional Medical Center
- General Acute Care Hospital
- Anaheim, CA
- NPI 1891938122
-
dba Anaheim Global Medical Center
- General Acute Care Hospital
- Anaheim, CA
- NPI 1790778488
-
dba West Anaheim Medical Center
- General Acute Care Hospital
- Anaheim, CA
- NPI 1871501916
-
dba La Palma Intercommunity Hospital
- General Acute Care Hospital
- La Palma, CA
- NPI 1417965559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1114361813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18335 E VALLEY BLVD",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917445968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18335 E VALLEY BLVD",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917445968",
"telephone_number": "714-547-7008"
}
],
"practiceLocations": [
{
"address_1": "10201 66th Rd",
"address_purpose": "LOCATION",
"city": "Forest Hills",
"state": "NY",
"postal_code": "113752029",
"country_code": "US",
"telephone_number": "510-386-6482",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHOO",
"first_name": "TERESA",
"middle_name": "KYU THIN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-24",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "A140938",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "A140938",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "khooteresamd@gmail.com",
"affiliation": "N",
"address_1": "18335 E Valley Blvd",
"city": "LA Puente",
"state": "CA",
"country_code": "US",
"postal_code": "917445968",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in La Puente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.