Individual provider Active NPI

Phyllis Daisy Woo, M.P.H.,W.H.N.P-BC

  • Women's Health Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1184931263
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
F420993-1 Issued in NY
Practice address
1530 Hillhurst Ave
Los Angeles, CA 90027-5516
Phone
(323) 644-3888
NPI assigned
Sep 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X F420993-1 NY Primary

Addresses

Primary practice location

1530 Hillhurst Ave
Los Angeles, CA 90027-5516

Mailing address

4216 Fountain Ave
Los Angeles, CA 90029-2256
Phone (323) 644-3888

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180607003098 CA Practitioner - Nurse Practitioner 2567727845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asian Pacific Health Care Venture, Inc.Group PAC ID 8729997390, 20 clinicians

Practice addresses (Care Compare)

1530 Hillhurst Ave
Los Angeles, CA 90027-5516
Phone (323) 644-3880

9960 Baldwin PL
El Monte, CA 91731-2204
Phone (626) 774-2988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F420993-1NYMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Asian Pacific Health Care Venture, Inc. Current Accepting new patients
Asian Pacific Health Care Venture, Inc. CurrentSince Apr 29, 2018 Accepting new patients

Locations

9960 Baldwin Pl
El Monte, CA 91731
Phone (626) 774-2988

1530 Hillhurst Ave
Los Angeles, CA 90027
Phone (323) 644-3880

4216 Fountain Ave
Los Angeles, CA 90029
Phone (323) 644-3880

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1184931263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4216 FOUNTAIN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292256",
            "telephone_number": "323-644-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 HILLHURST AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900275516",
            "telephone_number": "323-644-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOO",
        "first_name": "PHYLLIS",
        "middle_name": "DAISY",
        "name_prefix": "Ms.",
        "credential": "M.P.H.,W.H.N.P-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-09",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F420993-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.