Active NPI
Sandra a. Ho M.D., Professional Corporation
- Allergy & Immunology Physician
- Los Angeles, CA
National Provider Identifier
1790347441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- Legal business name
- SANDRA A. HO M.D., PROFESSIONAL CORPORATION
- Practice address
- 11965 Venice Blvd Ste 300
Los Angeles, CA 90066-3979 - Phone
- (310) 562-0441
- Fax
- (310) 684-2021
- NPI assigned
- Jul 2, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra Ann Ho, MD
- Title
- President
- Phone
- (310) 876-0248
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | Primary | ||
| Internal Medicine Physician | 207R00000X |
Addresses
Primary practice location
11965 Venice Blvd Ste 300
Los Angeles, CA 90066-3979
Mailing address
9808 Venice Blvd Ste 600
Culver City, CA 90232-6807
Other names 1
- Avant Allergy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11965 Venice Blvd
#300
Los Angeles, CA 90066
Phone (310) 870-1232
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Allergy & Immunology Physician
- Los Angeles, CA
- NPI 1659680411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562025600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608076800000",
"number": "1790347441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9808 VENICE BLVD STE 600",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902326807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11965 VENICE BLVD STE 300",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900663979",
"telephone_number": "310-562-0441",
"fax_number": "310-684-2021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANDRA A. HO M.D., PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-02",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A",
"authorized_official_last_name": "HO",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-876-0248",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Avant Allergy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Avant Allergy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.