Jean Jung Woo, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

21977 Issued in CA

Practice address

1890 W Main St Ste 110
Barstow, CA 92311-3726

Phone

(760) 256-1422

Fax

(760) 255-1006

NPI assigned

Jun 29, 2012

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

Other names 1

• Jean J Woo Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeanwoo@chai.allscriptsdirect.net

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.

• Caremd, Inc.

  • Family Medicine Physician
  • Barstow, CA
  • NPI 1740588391
  Medicare reassignment NPD
• Choice Healthcare Associates, Inc.

  • Exclusive Provider Organization
  • Apple Valley, CA
  • NPI 1194964361
  Medicare reassignment NPD

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1437413952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19111 TOWN CENTER DR",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923088989",
            "telephone_number": "760-242-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 W MAIN ST STE 110",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113726",
            "telephone_number": "760-256-1422",
            "fax_number": "760-255-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOO",
        "first_name": "JEAN",
        "middle_name": "JUNG",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "21977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "WOO",
            "middle_name": "J",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sandra D Willliams, PH.D.
• Windy City Medical Clinic Professional Corporation
• Brenda Wise
• David Wishnewsky
• Karen K Wong
• Amber Yvonne Woods
• Amanda Wright
• Liberty Shea Wyman, LMFT
• Arthur Yanez Jr.
• Heather Young

• Family Nurse Practitioner in Barstow, CA
• Providers in Barstow, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.