Individual provider Active NPI

Jemie E Sae Koo

  • Health & Wellness Coach
  • Hawthorne, CA
National Provider Identifier
1427962190
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Practice address
5545 Ocean Unit 106
Hawthorne, CA 90250-1111
Phone
(424) 290-1288
NPI assigned
Sep 30, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X CA Primary

Addresses

Primary practice location

5545 Ocean Unit 106
Hawthorne, CA 90250-1111

Mailing address

5545 Ocean Unit 106
Hawthorne, CA 90250-1111
Phone (424) 290-1288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1427962190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5545 OCEAN UNIT 106",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902501111",
            "telephone_number": "424-290-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5545 OCEAN UNIT 106",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902501111",
            "telephone_number": "424-290-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAE KOO",
        "first_name": "JEMIE",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.