Active NPI
Yirye Hwangbo
- Medical Physician Assistant
- Folsom, CA
National Provider Identifier
1124974308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- PO Box 113
Folsom, CA 95763-0113 - Phone
- (916) 566-9052
- NPI assigned
- Mar 9, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | CA | Primary |
Addresses
Primary practice location
PO Box 113
Folsom, CA 95763-0113
Mailing address
PO Box 113
Folsom, CA 95763-0113
Phone (916) 566-9052
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1124974308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 113",
"city": "FOLSOM",
"state": "CA",
"postal_code": "957630113",
"telephone_number": "916-566-9052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 113",
"city": "FOLSOM",
"state": "CA",
"postal_code": "957630113",
"telephone_number": "916-566-9052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HWANGBO",
"first_name": "YIRYE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-09",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.