Individual provider Active NPI

Clementine Vo, D.O.

  • Anesthesiology Physician
  • Los Angeles, CA
National Provider Identifier
1538506167
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20A14497 Issued in CA
Practice address
4650 Sunset Blvd
Los Angeles, CA 90027
Phone
(323) 660-2450
NPI assigned
May 22, 2013
Last updated
Mar 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Anesthesiology Physician 207L00000X 20A14497 CA Primary

Addresses

Primary practice location

4650 Sunset Blvd
Los Angeles, CA 90027

Mailing address

4650 Sunset Blvd
Los Angeles, CA 90027
Phone (323) 660-2450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170629001847 CA Practitioner - Anesthesiology 1153690458 Reassigns benefits to 3 organizations
I20240510002633 TX Practitioner - Anesthesiology 1153690458 Reassigns benefits to 1 organization
I20260618004291 DC Practitioner - Anesthesiology 1153690458 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Atlanta, GA 30374

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14497CAMDAcupuncturist
20A14497CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Oct 1, 2025 Accepting new patients
Children's Hospital Los Angeles Medical Group, Inc. CurrentSince Jul 10, 2017 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Oct 1, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm Anesthesiology CurrentSince Jan 16, 2026 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jan 16, 2026 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
Texas Children's Physician Group CurrentSince May 2, 2024 Accepting new patients
Valley Children's Medical Group Past Accepting new patients

Locations

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

3701 Wilshire Blvd
Ste 600
Los Angeles, CA 90010
Phone (323) 361-3550

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224

26357 McBean Pkwy
Ste 100
Valencia, CA 91355
Phone (661) 799-8300

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000

Interoperability endpoints

  • Direct secure messaging: cvo81182@valleychildrens-prd.direct-ci.com
  • Direct secure messaging: cvo918344@direct.memorialcare.org

Organizations & group practices 10

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": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1538506167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90027",
            "telephone_number": "323-660-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 SUNSET BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90027",
            "telephone_number": "323-660-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO",
        "first_name": "CLEMENTINE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-22",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A14497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.