Harini Delia Koko, AGNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2018038105 Issued in MO

Practice address

2 Mela LN
Rancho Palos Verdes, CA 90275-5078

Phone

(636) 248-9722

NPI assigned

Jan 20, 2019

Sex

Female

Sole proprietor

No

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 CA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Welcome Health Medical GroupGroup PAC ID 8527457233, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: harini.koko.p1@direct.caremorewest.nextgenshare.com
• Direct secure messaging: harini.koko.1@32527.direct.athenahealth.com

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.

• Welcome Health Medical Group

  • Internal Medicine Physician
  • Whittier, CA
  • NPI 1174295349
  Medicare reassignment Care Compare group
• Albion Medical Partners of California West P C

  • Internal Medicine Physician
  • Cerritos, CA
  • NPI 1073110607
  Medicare reassignment NPD
• Pagiel Shechter MD. Inc

  • Nephrology Physician
  • Los Angeles, CA
  • NPI 1760434880
  Medicare reassignment NPD

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

{
    "created_epoch": "1547942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1356815641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 LAKEWOOD BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902404020",
            "telephone_number": "562-360-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MELA LN",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902755078",
            "telephone_number": "636-248-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKO",
        "first_name": "HARINI",
        "middle_name": "DELIA",
        "name_prefix": "Mrs.",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-20",
        "last_updated": "2022-06-14",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2018038105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Kim
• Evan Hyunwu Kim, DDS
• Minseag Kim
• Richard Seongjun Kim, MD
• Mary Nell Kocman
• Glen Isamu Komatsu, M.D.
• Nicola Akiko Koyama, P.T.
• Donna Marie Krogh, PHD
• Allan Ku
• Bryce Robert Kubo, DPT

• Nurse Practitioner in Rancho Palos Verdes, CA
• Providers in Rancho Palos Verdes, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.