Individual provider Active NPI

Seokhooi Koay, RN, CDE

  • Primary Care Nurse Practitioner
  • Fremont, CA
National Provider Identifier
1598158206
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95015755 Issued in CA
Practice address
35557 Terrace Dr
Fremont, CA 94536-7605
Phone
(510) 676-8614
NPI assigned
Mar 5, 2015
Last updated
Mar 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 95015755 CA Primary
Nutrition Education Nutritionist 133NN1002X RN762386 CA

Addresses

Primary practice location

35557 Terrace Dr
Fremont, CA 94536-7605

Mailing address

35557 Terrace Dr
Fremont, CA 94536-7605
Phone (510) 676-8614

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
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN762386CAMDNutrition Education Nutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
Aleracare Medical Group of California, a Medical Corporation CurrentSince Nov 15, 2021 Accepting new patients

Locations

7039 Valjean Ave
#A
Van Nuys, CA 91406
Phone (602) 404-0015

1399 Ygnacio Valley Rd
Ste 11C
Walnut Creek, CA 94598

Interoperability endpoints

  • Direct secure messaging: bkoay581844@direct.ochin.org
  • Direct secure messaging: seokhooi.koay.p1@direct.smhc.nextgenshare.com

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": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1598158206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35557 TERRACE DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945367605",
            "telephone_number": "510-676-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35557 TERRACE DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945367605",
            "telephone_number": "510-676-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOAY",
        "first_name": "SEOKHOOI",
        "name_prefix": "Ms.",
        "credential": "RN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-05",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95015755",
            "primary": true
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "CA",
            "license": "RN762386",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.