Active NPI
Yojin Ro
- Speech-Language Pathologist
- Buena Park, CA
National Provider Identifier
1497148035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP 23056
- Practice address
- 5688 Tahoe Cir
Buena Park, CA 90621-1368 - Phone
- (714) 873-7277
- NPI assigned
- Mar 6, 2015
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP 23056 | CA | Primary |
Addresses
Primary practice location
5688 Tahoe Cir
Buena Park, CA 90621-1368
Mailing address
3400 Cottage Way
Ste G2 #8624
Sacramento, CA 95825
Phone (714) 873-7283
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23056 | CA | MD | Social Worker |
| SP 23056 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686873600000",
"number": "1497148035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 COTTAGE WAY",
"address_2": "STE G2 #8624",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95825",
"telephone_number": "714-873-7283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5688 TAHOE CIR",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906211368",
"telephone_number": "714-873-7277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RO",
"first_name": "YOJIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-06",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP 23056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buena Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.