Individual provider Active NPI

Yue Moi Kouch, D.V.M.

  • Veterinarian
  • Antioch, CA
National Provider Identifier
1518332808
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
20866 Issued in CA
Practice address
1312 Sunset Dr
Antioch, CA 94509-2853
Phone
(925) 754-5001
NPI assigned
Dec 11, 2015
Last updated
Dec 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 20866 CA Primary

Addresses

Primary practice location

1312 Sunset Dr
Antioch, CA 94509-2853

Mailing address

5235 Panama Ave
Richmond, CA 94804-5421
Phone (626) 329-2784

Other names 1

  • Moi Yue Kouch Other name

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

LicenseStateTypeSpecialty
20866CAMDVeterinarian

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Veterinary Emergency Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1518332808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5235 PANAMA AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948045421",
            "telephone_number": "626-329-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 SUNSET DR",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945092853",
            "telephone_number": "925-754-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUCH",
        "first_name": "YUE",
        "middle_name": "MOI",
        "credential": "D.V.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "CA",
            "license": "20866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOI",
            "last_name": "KOUCH",
            "middle_name": "YUE",
            "credential": "D.V.M.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.