Individual provider Active NPI

Sandra Ann Ho, MD

  • Allergy & Immunology Physician
  • Los Angeles, CA
National Provider Identifier
1659680411
Registry record updated Dec 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A113522 Issued in CA
Practice address
11965 Venice Blvd Ste 300
Los Angeles, CA 90066-3979
Phone
(310) 876-0248
Fax
(310) 684-2021
NPI assigned
Sep 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X A113522 CA Primary

Addresses

Primary practice location

11965 Venice Blvd Ste 300
Los Angeles, CA 90066-3979

Mailing address

11965 Venice Blvd Ste 300
Los Angeles, CA 90066-3979
Phone (310) 876-0248

Other practice location 1

2600 Redondo Ave Ste 400
Long Beach, CA 90806-2330
Phone (562) 997-7888

Other practice location 2

1301 20th St
Ste 220
Santa Monica, CA 90404-2050
Phone (310) 828-8534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20111003000413 CA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 5698947372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Howard University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11965 Venice Blvd
Suite 300
Los Angeles, CA 90066-3979
Phone (310) 870-1232

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A113522CAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group Texas PA PastSince Oct 8, 2023 Accepting new patients
Providence Saint John'S Health Center PastSince Dec 22, 2020 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1659680411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11965 VENICE BLVD STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663979",
            "telephone_number": "310-876-0248",
            "fax_number": "310-684-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11965 VENICE BLVD STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900663979",
            "telephone_number": "310-876-0248",
            "fax_number": "310-684-2021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Redondo Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908062330",
            "country_code": "US",
            "telephone_number": "562-997-7888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 20th St",
            "address_2": "Ste 220",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904042050",
            "country_code": "US",
            "telephone_number": "310-828-8534",
            "fax_number": "310-453-8468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HO",
        "first_name": "SANDRA",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A113522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.