Active NPI
Soorim Yoo
- Pharmacist
- San Francisco, CA
National Provider Identifier
1487258554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 83718
- Practice address
- 499 Haight St
San Francisco, CA 94117-3505 - Phone
- (415) 503-0722
- NPI assigned
- Nov 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 83718 | CA | Primary |
Addresses
Primary practice location
499 Haight St
San Francisco, CA 94117-3505
Mailing address
50 Montsalas Dr
Monterey, CA 93940-5245
Other practice location 1
50 Montsalas Dr
Monterey, CA 93940-5245
Phone (831) 676-8157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83718 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1487258554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 MONTSALAS DR",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939405245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "499 HAIGHT ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941173505",
"telephone_number": "415-503-0722"
}
],
"practiceLocations": [
{
"address_1": "50 Montsalas Dr",
"address_purpose": "LOCATION",
"city": "Monterey",
"state": "CA",
"postal_code": "939405245",
"country_code": "US",
"telephone_number": "831-676-8157",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOO",
"first_name": "SOORIM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-29",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "83718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.