Christine Yoo, OD
Individual provider Active NPI Optometrist · Berkeley, CA
NPI 1780163808 · NPPES record last updated Oct 25, 2024
Key facts
- NPI
- 1780163808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 34032TLG (CA)
- Practice address
- 200 Minor Hall
Berkeley, CA 94720-0001 - Phone
- (510) 642-2020
- NPI assigned
- Aug 9, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern California Permanente Medical Group
Practice addresses (Care Compare)
25821 Vermont Ave
Harbor City, CA 90710-3518
Phone (310) 325-5111
25825 Vermont Ave
Harbor City, CA 90710-3518
Phone (310) 325-5111
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190919000150 | CA | Practitioner - Optometry | 5698005593 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34032TLG | CA | MD | Optometrist |
Practice roles (5 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chino Hills Optometry Inc | Optometrist | Current |
Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current |
Accepting new patients | |
| Alan M Berg MD Inc and Robert E Feinfield MD Inc | Optometrist | Current |
Accepting new patients |
| Southern California Permanente Medical Group | Current |
Accepting new patients |
Locations
2625 W Alameda Ave
Ste 208
Burbank, CA 91505
Phone (818) 845-3557
4200 Chino Hills Pkwy
Ste 390
Chino Hills, CA 91709
Phone (909) 393-9058
25825 Vermont Ave
Harbor City, CA 90710
Phone (310) 325-5111
393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235
13320 Riverside Dr
Ste 114
Sherman Oaks, CA 91423
Phone (818) 501-3937
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 34032TLG | CA | Yes |
Addresses
Primary practice location
200 Minor Hall
Berkeley, CA 94720-0001
Mailing address
200 Minor Hall
Berkeley, CA 94720-0001
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.