Individual provider Active NPI

Mylien Ho, M.D.

  • Specialist
  • San Diego, CA
National Provider Identifier
1851464606
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A482150 Issued in CA
Practice address
5555 Reservoir Dr Ste 205
San Diego, CA 92120-5148
Phone
(619) 286-5858
Fax
(619) 286-1474
NPI assigned
Nov 17, 2006
Last updated
Dec 7, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A482150 CA Primary

Addresses

Primary practice location

5555 Reservoir Dr Ste 205
San Diego, CA 92120-5148

Mailing address

5555 Reservoir Dr Ste 205
San Diego, CA 92120-5148
Phone (619) 286-5858

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: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A482150CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dap Health, Inc. Current Accepting new patients
La Maestra Family Clinic, Inc. Current Accepting new patients
La Maestra Family Clinic, Inc. CurrentSince May 7, 2022 Accepting new patients
La Maestra Family Clinic, Inc. CurrentSince May 7, 2022 Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Lac T Vu PastSince Sep 20, 2022 Accepting new patients

Locations

1032 Broadway
El Cajon, CA 92021
Phone (619) 741-3045

165 S 1st St
El Cajon, CA 92019
Phone (619) 312-0347

4060 Fairmount Ave
San Diego, CA 92105
Phone (619) 255-9155

Interoperability endpoints

  • Direct secure messaging: mho684715@direct.ochin.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1851464606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 RESERVOIR DR STE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205148",
            "telephone_number": "619-286-5858",
            "fax_number": "619-286-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 RESERVOIR DR STE 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205148",
            "telephone_number": "619-286-5858",
            "fax_number": "619-286-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "MYLIEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A482150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.