Individual provider Active NPI

Steve Sang -Hyun Koh, M.D

  • Psychiatry Physician
  • La Jolla, CA
National Provider Identifier
1467650473
Registry record updated Aug 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A103468 Issued in CA
Practice address
Ucsd 9500 Gilman Dr
MC 0993
La Jolla, CA 92093-0001
Phone
(858) 246-0763
NPI assigned
Jul 11, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A103468 CA Primary

Addresses

Primary practice location

Ucsd 9500 Gilman Dr
MC 0993
La Jolla, CA 92093-0001

Mailing address

Ucsd 9500 Gilman Dr
MC 0993
La Jolla, CA 92093-0001
Phone (858) 246-0763

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
I20090109000644 CA Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 4385707827 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Geriatric Psychiatry
Education
University of California, San Diego School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

200 W Arbor Dr
San Diego, CA 92103-9000
Phone (858) 249-6753

350 Dickinson St
San Diego, CA 92103-1913
Phone (858) 249-6748

6645 Alvarado Rd
San Diego, CA 92120-5208
Phone (858) 249-6748

6655 Alvarado Rd
San Diego, CA 92120-5208
Phone (800) 926-5273

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
73.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A103468CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Salud de la Comunidad de San Ysidro, Inc. Current Accepting new patients
County of San Diego CurrentSince Jan 27, 2017 Accepting new patients
Regents of the University of California Psychiatry CurrentSince Apr 1, 2015 Accepting new patients
Centro de Salud de la Comunidad de San Ysidro, Inc. CurrentSince Nov 11, 2019 Accepting new patients
County of San Diego Current Accepting new patients
Regents of the University of California CurrentSince Apr 1, 2015 Accepting new patients
Community Research Foundation Inc CurrentSince Jul 10, 2019 Accepting new patients

Locations

1000 Broadway
Ste 210
El Cajon, CA 92021
Phone (619) 401-5500

File 57326
Los Angeles, CA 90074

350 Dickinson St
San Diego, CA 92103
Phone (619) 543-6635

4311 3rd Ave
San Diego, CA 92103
Phone (619) 688-1600

1202 Morena Blvd
Ste 300
San Diego, CA 92110
Phone (619) 276-8112

1250 Morena Blvd
San Diego, CA 92110
Phone (619) 692-8715

3853 Rosecrans St
San Diego, CA 92110
Phone (619) 615-0439

3177 Ocean View Blvd
San Diego, CA 92113
Phone (619) 231-9300

140 Arbor Dr
San Diego, CA 92103
Phone (619) 299-3510

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

4004 Beyer Blvd
San Ysidro, CA 92173
Phone (619) 428-1330

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312329600000",
    "number": "1467650473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UCSD 9500 GILMAN DR",
            "address_2": "MC 0993",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930001",
            "telephone_number": "858-246-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UCSD 9500 GILMAN DR",
            "address_2": "MC 0993",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930001",
            "telephone_number": "858-246-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOH",
        "first_name": "STEVE",
        "middle_name": "SANG -HYUN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-11",
        "last_updated": "2011-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A103468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.