Active NPI
Heather Yoo, MS, PA-C
- Physician Assistant
- Whittier, CA
National Provider Identifier
1750711487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-51254
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750711487 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 51254 | CA | MD | Pharmacist |
| PA51254 | CA | MD | Plastic Surgery Physician |
| PA-51254 | CA | MD | Physician 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.