Active NPI
Jessica Ann Yoong Tasto, O.D.
- Optometrist
- San Diego, CA
National Provider Identifier
1790733673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT12772
- Practice address
- 200 West Arbor Dr MC 8201
Ucsd Medical Center
San Diego, CA 92103-8201 - Phone
- (858) 534-6290
- Fax
- (619) 543-3183
- NPI assigned
- May 4, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT12772 | CA | Primary |
Addresses
Primary practice location
200 West Arbor Dr MC 8201
Ucsd Medical Center
San Diego, CA 92103-8201
Mailing address
1642 7TH Ave
Unit 428
San Diego, CA 92101-2722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0127720 | Medicaid | CA |
Other names 1
- Dr. Jessica A Yoong
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT12772 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203033600000",
"number": "1790733673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1642 7TH AVE",
"address_2": "UNIT 428",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921012722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WEST ARBOR DR MC 8201",
"address_2": "UCSD MEDICAL CENTER",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921038201",
"telephone_number": "858-534-6290",
"fax_number": "619-543-3183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TASTO",
"first_name": "JESSICA",
"middle_name": "ANN YOONG",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2008-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT12772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0127720",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "YOONG",
"middle_name": "A",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.