Won Jo, MD, Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

A91260 Issued in CA

Legal business name

WON JO, MD, INC

Practice address

424 E Vanderbilt Way Ste B
San Bernardino, CA 92408-3552

Phone

(909) 796-0363

Fax

(909) 255-7292

NPI assigned

Apr 14, 2007

Organization subpart

No

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

Authorized official

Name

Won-Seok Jo, MDNPI 1245215144

Title

President

Phone

(714) 350-5651

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Won-Seok Jo, M.D.

  • Gastroenterology Physician
  • San Bernardino, CA
  • NPI 1245215144
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1235354408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 E VANDERBILT WAY STE B",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083552",
            "telephone_number": "909-796-0363",
            "fax_number": "909-255-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 E VANDERBILT WAY STE B",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083552",
            "telephone_number": "909-796-0363",
            "fax_number": "909-255-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WON JO, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-14",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "JO",
        "authorized_official_first_name": "WON-SEOK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-350-5651",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A91260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI (PERSONAL)",
            "identifier": "1245215144",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00400295",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A912600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dorothy Sok Mon Wong, RPH
• Stephanie Wong, CCC-SLP
• Vincent Jih Chong Wong
• Woo Yong Lee DDS Inc
• Julie Wood

• Gastroenterology Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.