Active NPI
Yong-Kyoo Koh, M.D.
- Anesthesiology Physician
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- C50260
- Practice address
- 1720 Termino Ave
Long Beach, CA 90804-2104 - Phone
- (562) 498-1000
- NPI assigned
- Dec 7, 2005
- Last updated
- Jun 29, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | C50260 | CA | Primary |
Addresses
Primary practice location
1720 Termino Ave
Long Beach, CA 90804-2104
Mailing address
210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone (800) 883-7243
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C502600 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
500 S Anaheim Hills Rd
Anaheim, CA 92807-4780
Phone (714) 533-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talbert Anesthesia Group Incorporated | Anesthesiology | Current | Accepting new patients |
| Allied Anesthesia Medical Group Inc | Anesthesiology | Current | Accepting new patients |
Locations
500 S Anaheim Hills Rd
Anaheim, CA 92807
Phone (714) 221-2345
17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200
101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone (714) 446-7505
7677 Center Ave
Ste 104
Huntington Beach, CA 92647
Phone (714) 881-8700
10904 Reagan St
Los Alamitos, CA 90720
Phone (562) 592-3140
455 S Main St
Orange, CA 92868
Phone (714) 289-4511
255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127
999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841
14571 Magnolia St
Ste 107
Westminster, CA 92683
Phone (714) 533-2020
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Anaheim, CA
- NPI 1639216732
-
- Anesthesiology Physician
- Orange, CA
- NPI 1346267267
-
- Anesthesiology Physician
- Los Alamitos, CA
- NPI 1144626714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309305600000",
"number": "1447235932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 N TUSTIN AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053807",
"telephone_number": "800-883-7243",
"fax_number": "714-647-1245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 TERMINO AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908042104",
"telephone_number": "562-498-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOH",
"first_name": "YONG-KYOO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-07",
"last_updated": "2011-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "C50260",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C502600",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.