Individual provider Active NPI

Pauline Ho, M.D.

  • Specialist
  • Placentia, CA
National Provider Identifier
1194854794
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A67636 Issued in CA
Practice address
1275 N Rose Dr
Suite 134
Placentia, CA 92870-3941
Phone
(714) 996-6500
Fax
(714) 996-1722
NPI assigned
Mar 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A67636 CA Primary

Addresses

Primary practice location

1275 N Rose Dr
Suite 134
Placentia, CA 92870-3941

Mailing address

20691 Via Ventana
Yorba Linda, CA 92886-4616
Phone (714) 283-2620

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
I20101004000268 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 8224109376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Tufts University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Petreccia and Trotter Medical CorporationGroup PAC ID 7315026309, 3 clinicians

Practice addresses (Care Compare)

1275 N Rose Dr
Placentia, CA 92870-3919
Phone (714) 996-6500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
17.39 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
57.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A67636CAMDSpecialist
67636CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Petreccia and Trotter Medical Corporation CurrentSince Jul 1, 2003 Accepting new patients
St Jude Hospital Inc Past Accepting new patients
THC - Orange County, LLC Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

1275 N Rose Dr
Ste 134
Placentia, CA 92870
Phone (714) 996-6500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194854794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20691 VIA VENTANA",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928864616",
            "telephone_number": "714-283-2620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 N ROSE DR",
            "address_2": "SUITE 134",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703941",
            "telephone_number": "714-996-6500",
            "fax_number": "714-996-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "PAULINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A67636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

Verify at the official NPI Registry.