Individual provider Active NPI

Hee Yong Oh, M.D.

  • Internal Medicine Physician
  • West Covina, CA
National Provider Identifier
1225106693
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
CG258Y Issued in CA
Practice address
1433 W Merced Ave Ste 207
West Covina, CA 91790-3402
Phone
(626) 962-2421
Fax
(626) 962-8345
NPI assigned
Dec 1, 2006
Last updated
Dec 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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 CG258Y CA Primary

Addresses

Primary practice location

1433 W Merced Ave Ste 207
West Covina, CA 91790-3402

Mailing address

1433 W Merced Ave Ste 207
West Covina, CA 91790-3402
Phone (626) 962-2421

Other identifiers 4

IdentifierTypeStateIssuer
00A343522OtherCABLUE SHIELD
953648886OtherCABLUE CROSS
00A343520MedicaidCA
00CG258Y0MedicaidCA

Other names 1

  • Mr. Hee Yong Oh Professional name

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
I20091007000343 CA Practitioner - Internal Medicine 9436295342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hee Yong Oh MD IncGroup PAC ID 1456524784, 2 clinicians

Practice addresses (Care Compare)

1722 Desire Ave
Suite 206
Rowland Heights, CA 91748-2970
Phone (626) 962-2421

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CG258YCAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kim Associates Medical Clinic, Inc. Internal Medicine CurrentSince Aug 29, 2011 Accepting new patients
Hee Yong Oh MD Inc Internal Medicine CurrentSince Aug 29, 2011 Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients

Locations

1722 Desire Ave
Ste 206
Rowland Heights, CA 91748
Phone (626) 912-5282

20627 Golden Springs Dr
Ste 2DE
Walnut, CA 91789
Phone (909) 480-0099

1433 W Merced Ave
Ste 207
West Covina, CA 91790
Phone (626) 877-1455

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: hee.oh@954855743225860.direct.elationemr.com

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 1

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323993600000",
    "number": "1225106693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 W MERCED AVE STE 207",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903402",
            "telephone_number": "626-962-2421",
            "fax_number": "626-962-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 W MERCED AVE STE 207",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903402",
            "telephone_number": "626-962-2421",
            "fax_number": "626-962-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OH",
        "first_name": "HEE",
        "middle_name": "YONG",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2011-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "CG258Y",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A343522",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "953648886",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A343520",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00CG258Y0",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEE",
            "last_name": "OH",
            "middle_name": "YONG",
            "prefix": "MR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.