Individual provider Active NPI

Heather Yoo, MS, PA-C

  • Physician Assistant
  • Whittier, CA
National Provider Identifier
1750711487
Registry record updated Jul 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-51254 Issued in CA
Practice address
12462 Putnam St Ste 501
Whittier, CA 90602
Phone
(562) 789-5439
Fax
(562) 789-4443
NPI assigned
Nov 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X PA51254 CA
Physician Assistant 363A00000X PA-51254 CA Primary

Addresses

Primary practice location

12462 Putnam St Ste 501
Whittier, CA 90602

Mailing address

12462 Putnam St Ste 501
Whittier, CA 90602-1049
Phone (562) 789-5439

Other practice location 1

400 N Pepper Ave
Department of Orthopedics
Colton, CA 92324-1801
Phone (909) 580-1775

Other identifiers 1

IdentifierTypeStateIssuer
1750711487MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL TBA

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)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
51254CAMDPharmacist
PA51254CAMDPlastic Surgery Physician
PA-51254CAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1750711487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12462 PUTNAM ST STE 501",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021049",
            "telephone_number": "562-789-5439",
            "fax_number": "562-789-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12462 PUTNAM ST STE 501",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "90602",
            "telephone_number": "562-789-5439",
            "fax_number": "562-789-4443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Pepper Ave",
            "address_2": "Department of Orthopedics",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923241801",
            "country_code": "US",
            "telephone_number": "909-580-1775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOO",
        "first_name": "HEATHER",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-15",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "PA51254",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA-51254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750711487",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TBA",
            "affiliation": "N",
            "address_1": "12462 Putnam St Ste 501",
            "city": "Whittier",
            "state": "CA",
            "country_code": "US",
            "postal_code": "906021049",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.