Individual provider Active NPI

Dong-Ru Ho, MD

  • Professional Counselor
  • San Diego, CA
National Provider Identifier
1518587906
Registry record updated Apr 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
00867019 Issued in NU
Practice address
13015 Evening Creek Dr S Unit 17
San Diego, CA 92128-8114
Phone
(919) 457-7577
NPI assigned
Apr 25, 2020
Last updated
Apr 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 00867019 NU Primary

Addresses

Primary practice location

13015 Evening Creek Dr S Unit 17
San Diego, CA 92128-8114

Mailing address

11923 NE Sumner St Ste 720534
Portland, OR 97250-9601
Phone (415) 857-3127

Other practice location 1

11923 NE Sumner St Ste 720534
Portland, OR 97250-9601
Phone (415) 857-3127

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
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1587772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587772800000",
    "number": "1518587906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11923 NE SUMNER ST STE 720534",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972509601",
            "telephone_number": "415-857-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13015 EVENING CREEK DR S UNIT 17",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921288114",
            "telephone_number": "919-457-7577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11923 NE Sumner St Ste 720534",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972509601",
            "country_code": "US",
            "telephone_number": "415-857-3127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HO",
        "first_name": "DONG-RU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-25",
        "last_updated": "2020-04-25",
        "certification_date": "2020-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": "00867019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2020; 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.