Individual provider Active NPI

Henry Ow-Yong, M.D.

  • Internal Medicine Physician
  • Visalia, CA
National Provider Identifier
1154435428
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A88630 Issued in CA
Practice address
2611 N Dinuba Blvd
Visalia, CA 93291-9003
Phone
(559) 733-6348
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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 A88630 CA Primary

Addresses

Primary practice location

2611 N Dinuba Blvd
Visalia, CA 93291-9003

Mailing address

2611 N Dinuba Blvd
Visalia, CA 93291-9003
Phone (559) 623-0700

Other identifiers 1

IdentifierTypeStateIssuer
00A866300MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050720001222 CA Practitioner - Internal Medicine 2769419720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of TulareGroup PAC ID 1456264555, 32 clinicians

Practice addresses (Care Compare)

2611 N Dinuba Blvd
Visalia, CA 93291-9003
Phone (559) 733-6342

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A88630CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Tulare Current Accepting new patients
County of Tulare CurrentSince Mar 2, 2010 Accepting new patients
County of Tulare CurrentSince Aug 15, 2010 Accepting new patients
County of Tulare Current Accepting new patients

Locations

1451 E El Monte Way
Dinuba, CA 93618
Phone (559) 591-0942

660 E Visalia Rd
Farmersville, CA 93223
Phone (559) 594-6788

2611 N Dinuba Blvd
Visalia, CA 93291
Phone (559) 623-0700

5957 S Mooney Blvd
Visalia, CA 93277
Phone (559) 624-8000

Organizations & group practices 4

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 4

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1154435428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 N DINUBA BLVD",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932919003",
            "telephone_number": "559-623-0700",
            "fax_number": "559-733-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 N DINUBA BLVD",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932919003",
            "telephone_number": "559-733-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OW-YONG",
        "first_name": "HENRY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A88630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A866300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.