Soo Ahn

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1151 Dove St Ste 150
Newport Beach, CA 92660-2837

Phone

(949) 630-8290

NPI assigned

Feb 3, 2022

Sex

Female

Sole proprietor

No

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.

• Accel Therapies Inc.

  • Behavior Analyst
  • Newport Beach, CA
  • NPI 1033474697

  Behavior Analyst

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 3, 2022.

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1740934272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 LINCOLN AVE APT 120",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906302945",
            "telephone_number": "213-477-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 DOVE ST STE 150",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602837",
            "telephone_number": "949-630-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHN",
        "first_name": "SOO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Ahmad, M.D.
• Jibran A Ahmed
• Sabah Ahmed, MD
• David Taehyung Ahn, MD
• Jane Ahn
• Nicole Aho
• Ahpc Orange County, Inc.
• Rena Ahuja, M.D.
• Rachel Leigh Airth, LMFT
• Aisthetikos, Inc

• All providers in Newport Beach, CA
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.