Individual provider Active NPI

Mi Hwa Yoo, M.D.

  • Pediatrics Physician
  • Corona, CA
National Provider Identifier
1467438002
Registry record updated Dec 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G78754 Issued in CA
Practice address
2815 S Main St
Suite 200
Corona, CA 92882-2531
Phone
(951) 255-1796
NPI assigned
Dec 15, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G78754 CA Primary

Addresses

Primary practice location

2815 S Main St
Suite 200
Corona, CA 92882-2531

Mailing address

13080 Solomon Peak Dr
Riverside, CA 92503-8404
Phone (951) 255-1796

Other identifiers 1

IdentifierTypeStateIssuer
G787540MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060220000613 CA Practitioner - Pediatric Medicine 5698780146 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Para la Gente Current Accepting new patients
Salud Para la Gente CurrentSince Jul 7, 2025 Accepting new patients
Salud Para la Gente CurrentSince Jul 7, 2025 Accepting new patients
Community Health Systems, Inc. Past Accepting new patients
Corona Pediatrics Pediatrics Past Accepting new patients
Salud Para la Gente Past Accepting new patients
Indiana University Health Ball Memorial Hospital, Inc. Past Accepting new patients
Salinas Pediatric Medical Group Inc Pediatrics Past Accepting new patients
Salinas Valley Memorial Healthcare System Past Accepting new patients

Locations

195 Aviation Way
Ste 200
Watsonville, CA 95076

204 E Beach St
Watsonville, CA 95076
Phone (831) 763-3413

45 Nielson St
Watsonville, CA 95076
Phone (831) 761-1588

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323907200000",
    "number": "1467438002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13080 SOLOMON PEAK DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925038404",
            "telephone_number": "951-255-1796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 S MAIN ST",
            "address_2": "SUITE 200",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928822531",
            "telephone_number": "951-255-1796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOO",
        "first_name": "MI HWA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-15",
        "last_updated": "2011-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G78754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G787540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.