Yi Jasmine Ko, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

65181 Issued in CA

Practice address

1850 S Azusa Ave Ste 108
Hacienda Heights, CA 91745-6827

Phone

(626) 912-9394

NPI assigned

Dec 21, 2015

Last updated

Oct 3, 2022By 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

Other names 1

• Yi Ko Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Y. Jasmine Ko DDS Professional Corporation

  • General Practice Dentistry
  • Hacienda Heights, CA
  • NPI 1598488967
  NPD Authorized official
• Ronald W. Nichols, D.D.S. Inc.

  • Dentist
  • Hacienda Heights, CA
  • NPI 1548468382
  NPD (past)

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1902261746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE STE 108",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456827",
            "telephone_number": "626-290-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S AZUSA AVE STE 108",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456827",
            "telephone_number": "626-912-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "YI",
        "middle_name": "JASMINE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-21",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "65181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YI",
            "last_name": "KO",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Annie Kim
• James Young Kim, D.D.S INC.
• Kevin Yongkwan Kim
• Zee Hyun Kim
• Holly King
• Hassan A Kobaissi, DPM
• Ashley Kugelman
• Wei Chung Kuo, PT, DPT
• Phouvy Ky, PT
• Helen Lam, PHARMD

• Dentist in Hacienda Heights, CA
• Providers in Hacienda Heights, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.