Active NPI
Wen Ruey Ko, M.D.
- Psychiatry Physician
- San Jose, CA
National Provider Identifier
1346589660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A33212
- Practice address
- 6168 Ostenberg Dr
San Jose, CA 95120-2736 - Phone
- (408) 268-2326
- NPI assigned
- Feb 6, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A33212 | CA | |
| Psychiatry Physician | 2084P0800X | A33212 | CA | Primary |
Addresses
Primary practice location
6168 Ostenberg Dr
San Jose, CA 95120-2736
Mailing address
6168 Ostenberg Dr
San Jose, CA 95120-2736
Phone (408) 268-2326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A33212 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360108800000",
"number": "1346589660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6168 OSTENBERG DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951202736",
"telephone_number": "408-268-2326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6168 OSTENBERG DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951202736",
"telephone_number": "408-268-2326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KO",
"first_name": "WEN",
"middle_name": "RUEY",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-06",
"last_updated": "2013-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A33212",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A33212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.