NPIMap

Individual provider Active NPI

Jose Jumil Yongco, M.D.

  • Internal Medicine Physician
  • Santa Maria, CA
National Provider Identifier
1114941218
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A92321 Issued in CA
Practice address
2115 Centerpointe Pkwy
Santa Maria, CA 93455-1334
Phone
(805) 346-7230
Fax
(805) 346-7272
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A92321 CA Primary

Addresses

Primary practice location

2115 Centerpointe Pkwy
Santa Maria, CA 93455-1334

Mailing address

1026 Henry Ave
Apt a
Santa Maria, CA 93455-8406
Phone (805) 937-2147

Other identifiers 2

IdentifierTypeStateIssuer
A92321OtherCAMED LICENSE
00A923210MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051206000908 CA Practitioner - Internal Medicine 2062432990 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

Practice addresses (Care Compare)

1010 Murray Ave
San Luis Obispo, CA 93405-1806
Phone (805) 546-7600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
65.6
Improvement activities
40
Cost
71.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A92321CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC CurrentSince Nov 27, 2024 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Nov 27, 2024 Accepting new patients
Hospital Medicine of California Inc Internal Medicine CurrentSince Jun 1, 2023 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
Hospitalist Medicine Physicians of San Luis Obispo County, Inc Internal Medicine Past Accepting new patients
Arroyo Inpatient Physicians Inc Past Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine Past Accepting new patients

Locations

2185 Citracado Pkwy
#1182
Escondido, CA 92029
Phone (805) 473-7626

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

7300 Medical Ctr
West Hills, CA 91307
Phone (818) 612-8301

Organizations & group practices 8

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1114941218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 HENRY AVE",
            "address_2": "APT A",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934558406",
            "telephone_number": "805-937-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 CENTERPOINTE PKWY",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551334",
            "telephone_number": "805-346-7230",
            "fax_number": "805-346-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YONGCO",
        "first_name": "JOSE",
        "middle_name": "JUMIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A92321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED LICENSE",
            "identifier": "A92321",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A923210",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.