Active NPI
Kyoung O Mo, RN
- Nephrology Registered Nurse
- Folsom, CA
National Provider Identifier
1376981886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Registered Nurse
- License
- 715696
- Practice address
- 355 Hansen Cir
Folsom, CA 95630 - Phone
- (408) 497-5451
- NPI assigned
- Jun 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Registered Nurse | 163WN0300X | 715696 | CA | Primary |
Addresses
Primary practice location
355 Hansen Cir
Folsom, CA 95630
Mailing address
355 Hansen Cir
Folsom, CA 95630
Phone (408) 497-5451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 715696 | CA | MD | Nephrology Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370476800000",
"number": "1376981886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 HANSEN CIR",
"city": "FOLSOM",
"state": "CA",
"postal_code": "95630",
"telephone_number": "408-497-5451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 HANSEN CIR",
"city": "FOLSOM",
"state": "CA",
"postal_code": "95630",
"telephone_number": "408-497-5451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MO",
"first_name": "KYOUNG",
"middle_name": "O",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-06",
"last_updated": "2013-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0300X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nephrology",
"state": "CA",
"license": "715696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.