Active NPI
Hee Yong Oh MD Inc
- Internal Medicine Physician
- West Covina, CA
National Provider Identifier
1457636094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- FN230A
- Legal business name
- HEE YONG OH MD INC
- Practice address
- 1433 W Merced Ave Ste 207
West Covina, CA 91790-3402 - Phone
- (626) 962-2421
- NPI assigned
- Oct 14, 2011
- Last updated
- Dec 16, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hee Yong Oh
- Title
- Owner
- Phone
- (626) 962-2421
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | FN230A | CA | Primary |
Addresses
Primary practice location
1433 W Merced Ave Ste 207
West Covina, CA 91790-3402
Mailing address
1433 W Merced Ave Ste 207
West Covina, CA 91790-3402
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00FN230A0 | Medicaid | CA | |
| 00A343520 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
20627 Golden Springs Dr
Ste 2DE
Walnut, CA 91789
Phone (909) 480-0099
1433 W Merced Ave
Ste 207
West Covina, CA 91790
Phone (626) 877-1455
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Diamond Bar, CA
- NPI 1093082885
-
- Internal Medicine Physician
- West Covina, CA
- NPI 1225106693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323993600000",
"number": "1457636094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1433 W MERCED AVE STE 207",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1433 W MERCED AVE STE 207",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917903402",
"telephone_number": "626-962-2421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEE YONG OH MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-14",
"last_updated": "2011-12-16",
"status": "A",
"authorized_official_last_name": "OH",
"authorized_official_first_name": "HEE YONG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "626-962-2421",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "FN230A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00FN230A0",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A343520",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.