Sophia Phuong Ho, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20A19502 Issued in CA

Practice address

21634 Retreat Pkwy
Corona, CA 92883-6100

Phone

(951) 493-6925

Fax

(951) 826-8135

NPI assigned

Mar 21, 2019

Last updated

Apr 14, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Phuong Bao Ho Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Riverside Medical Clinic IncGroup PAC ID 2961492327, 173 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.32 of 100Reported as group

Improvement activities

40

Cost

76.64

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Improvement activities

40

Cost

84.29

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Riverside Medical Clinic, Inc

  dba Riverside Medical Clinic

  • Dermatology Physician
  • Riverside, CA
  • NPI 1720183403
  Medicare reassignment Care Compare group NPD
• Vividerm Wound Care

  • In Home Supportive Care Agency
  • Corona, CA
  • NPI 1407654189
  Medicare reassignment NPD Authorized official
• Corona Hospitalist Medical Group, Inc.

  • Internal Medicine Physician
  • Corona, CA
  • NPI 1477832871
  Medicare reassignment NPD
• Palomar Hospitalist Medical Group, Inc

  • Hospitalist Physician
  • Escondido, CA
  • NPI 1801466826
  Medicare reassignment NPD
• Temecula Valley Hospitalist Medical Group, Inc.

  • Internal Medicine Physician
  • Temecula, CA
  • NPI 1265874135
  Medicare reassignment NPD
• Riverside Medical Clinic, Inc

  dba Riverside Medical Clinic

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1730180415
  NPD
• Riverside Medical Clinic, Inc

  dba Riverside Medical Clinic

  • Internal Medicine Physician
  • Riverside, CA
  • NPI 1871902452
  NPD
• Alertive Healthcare Medical Group PC

  • Internal Medicine Physician
  • Glendale, AZ
  • NPI 1467280990
  NPD (past)

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1790245256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21634 RETREAT PKWY",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928836100",
            "telephone_number": "951-493-6925",
            "fax_number": "951-826-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21634 RETREAT PKWY",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928836100",
            "telephone_number": "951-493-6925",
            "fax_number": "951-826-8135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 N Sepulveda Blvd",
            "address_purpose": "LOCATION",
            "city": "Manhattan Beach",
            "state": "CA",
            "postal_code": "902666861",
            "country_code": "US",
            "telephone_number": "310-409-8548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HO",
        "first_name": "SOPHIA",
        "middle_name": "PHUONG",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A19502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHUONG",
            "last_name": "HO",
            "middle_name": "BAO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Catalina Dawn Hiscock
• Amit Kumar Hiteshi, M.D.
• Jasmine Ho
• Kimberly T Ho, PTA
• Le My Ho, PHARM.D
• Sophie Loan Ho
• Brandon Tuan Hoang, DMD
• Linh Thuy Hoang, PHARMD
• Mynhan Hoang
• Ngoc Hoang

• Internal Medicine Physician in Corona, CA
• Providers in Corona, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.