Yunkyung Heo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95005973 Issued in CA

Practice address

1045 5TH St
Los Banos, CA 93635-4204

Phone

(209) 827-4747

Fax

(209) 827-5831

NPI assigned

Mar 10, 2017

Last updated

Apr 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: yheo1208219@oc.providencedirect.org

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.

• American Current Care of California, a Medical Corporation

  dba Concentra Urgent Care

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1750573622
  Medicare reassignment NPD

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1881135705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 5TH ST",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936354204",
            "telephone_number": "209-827-4747",
            "fax_number": "209-827-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 5TH ST",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936354204",
            "telephone_number": "209-827-4747",
            "fax_number": "209-827-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEO",
        "first_name": "YUNKYUNG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-10",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95005973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yheo1208219@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "331 N Pacific Coast Hwy",
            "city": "El Segundo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902454444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa Michelle Hawthorne
• Kenneth Gordon Heaton Jr., DDS
• Sabrina Hebb
• Laurie Hedden, MD
• Annie Cabugos Henry
• Lessli Hernandez Chamu
• Dayanara Hernandez-Cruz
• Heidi Hernandez
• Celeste Renae Antoinette Hornbeak
• Brandon Huante

• Family Nurse Practitioner in Los Banos, CA
• Providers in Los Banos, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.

Verify at the official NPI Registry.