Organization Active NPI

Hee Yong Oh MD Inc

  • Internal Medicine Physician
  • West Covina, CA
National Provider Identifier
1457636094
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
FN230A Issued in CA
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00FN230A0MedicaidCA
00A343520MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111102000712 CA Part B Supplier - Clinic/Group Practice 1456524784 Receives reassigned benefits from 2 practitioners
Practice locations: Diamond Bar, CA; Rowland Heights, CA; West Covina, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.