Active NPI
Yun Jin Jeannie Woo, FNP
- Nurse Practitioner
- Long Beach, CA
National Provider Identifier
1639771264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95028576
- Practice address
- 3835 E. 7TH Street
Long Beach, CA 90804 - Phone
- (562) 473-4441
- Fax
- (562) 473-4447
- NPI assigned
- Nov 9, 2020
- Reactivated
- Feb 21, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95176702 | CA | |
| Nurse Practitioner | 363L00000X | 95028576 | CA | Primary |
Addresses
Primary practice location
3835 E. 7TH Street
Long Beach, CA 90804
Mailing address
19712 Ray Cir
Cerritos, CA 90703
Phone (323) 868-5303
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
| License | State | Type | Specialty |
|---|---|---|---|
| 95176702 | CA | MD | Registered Nurse |
| 95028576 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Growing Healthy Together Inc., a Medical Corporation | Current | Accepting new patients |
Locations
3835 E 7th St
Long Beach, CA 90804
Phone (562) 434-5656
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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 and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Long Beach, CA
- NPI 1023448511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1639771264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19712 RAY CIR",
"city": "CERRITOS",
"state": "CA",
"postal_code": "90703",
"telephone_number": "323-868-5303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3835 E. 7TH STREET",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90804",
"telephone_number": "562-473-4441",
"fax_number": "562-473-4447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOO",
"first_name": "YUN JIN JEANNIE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-09",
"last_updated": "2024-02-22",
"certification_date": "2020-11-09",
"deactivation_date": "2024-01-18",
"reactivation_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95176702",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95028576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.