Y. Jasmine Ko DDS Professional Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

Y. JASMINE KO DDS PROFESSIONAL CORPORATION

Practice address

1850 S Azusa Ave Ste 108
Hacienda Heights, CA 91745-6827

Phone

(626) 912-9394

NPI assigned

Sep 21, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Yi J Ko, DDSNPI 1902261746

Title

President

Phone

(626) 290-4442

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yi Jasmine Ko, DDS

  • Dentist
  • Hacienda Heights, CA
  • NPI 1902261746
  NPD Authorized official
• Ronald W Nichols, DDS

  • Dentist
  • Hacienda Heights, CA
  • NPI 1205821931
  NPD (past)

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664064000000",
    "number": "1598488967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 WHITEWING LN",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917891849",
            "telephone_number": "626-290-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE STE 108",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456827",
            "telephone_number": "626-912-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Y. JASMINE KO DDS PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-25",
        "certification_date": "2022-09-25",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "YI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-290-4442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xcel Care Medical Group Corp
• Changshan Xin
• Chenyu Xu
• Helen Xu, PHARMD
• Qiu Shuang Xu
• Gina J Yan, REGISTERED NURSE
• Alice Joy Yang
• Chen-Hao Yang, L.AC.
• Isabella Yang, PHARMD
• Ning Yang, M.D.

• General Practice Dentistry in Hacienda Heights, CA
• Providers in Hacienda Heights, CA by specialty
• General Practice Dentistry in California

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