Jae Woo Seo

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

384 W 15TH St.
Los Angeles, CA 90015

Phone

(213) 742-5555

NPI assigned

Dec 11, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Shine MMG IncGroup PAC ID 6103257282, 25 clinicians

California Mobile Medical Group IncGroup PAC ID 7719330091, 16 clinicians

Excell Integrated Medical Group IncGroup PAC ID 1557782349, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Excell Home Care Inc Home health agency, Paramount, CA, CCN 058212

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• California Mobile Medical Group Inc

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1588439061
  Medicare reassignment Care Compare group
• Excell Integrated Medical Group Inc

  • Family Medicine Physician
  • Paramount, CA
  • NPI 1659909521
  Medicare reassignment Care Compare group
• Shine MMG Inc

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1053930248
  Medicare reassignment Care Compare group
• Cep America - California

  • Emergency Medicine Physician
  • Santa Ana, CA
  • NPI 1548667843
  Medicare reassignment
• Golden State Emergency Physicians Inc

  • Emergency Medicine Physician
  • Los Angeles, CA
  • NPI 1770886558
  Medicare reassignment
• Mobile Medical Group Inc

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1487169660
  Medicare reassignment
• Cep America - California

  • Emergency Medicine Physician
  • Long Beach, CA
  • NPI 1144849530
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Excell Home Care, Inc.

  • Home Health Agency
  • Long Beach, CA
  • NPI 1588630081
  Care Compare affiliation

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1265070023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 W 15TH ST.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 W 15TH ST.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90015",
            "telephone_number": "213-742-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEO",
        "first_name": "JAE",
        "middle_name": "WOO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-11",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gisung Seo, ACUPUNCTURE
• Grace Dongju Seo
• Ha Rang Seo
• Hojin Seo, DC
• Hyun Seong Seo
• Jin Seo, O.D.
• Jiyeon Seo
• Joyce Seo
• Jungmin Jasmine Seo
• Jungsik Seo

• Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.