Active NPI
Yung Cheng Ko, PHARMACIST
- Pharmacist
- Newport Beach, CA
National Provider Identifier
1710195920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43037
- Practice address
- 320 Superior Ave
Suite 120
Newport Beach, CA 92663-2716 - Phone
- (949) 645-7200
- Fax
- (949) 645-1349
- NPI assigned
- May 19, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 43037 | CA | Primary |
Addresses
Primary practice location
320 Superior Ave
Suite 120
Newport Beach, CA 92663-2716
Mailing address
320 Superior Ave
Suite 120
Newport Beach, CA 92663-2716
Phone (949) 645-7200
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 |
|---|---|---|---|
| 43037 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sweet Cute Inc | Past | Accepting new patients |
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": "1179532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710195920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 SUPERIOR AVE",
"address_2": "SUITE 120",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926632716",
"telephone_number": "949-645-7200",
"fax_number": "949-645-1349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 SUPERIOR AVE",
"address_2": "SUITE 120",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926632716",
"telephone_number": "949-645-7200",
"fax_number": "949-645-1349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KO",
"first_name": "YUNG",
"middle_name": "CHENG",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "43037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.