Individual provider Active NPI

Connie Yung-Jane Ku, FNP-C

  • Family Nurse Practitioner
  • Monterey Park, CA
National Provider Identifier
1962917252
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95007736 Issued in CA
Practice address
401 N Garfield Ave Ste 201
Monterey Park, CA 91754-1207
Phone
(626) 288-2266
Fax
(888) 313-0880
NPI assigned
Dec 8, 2017
Reactivated
Mar 20, 2019
Last updated
May 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95007736 CA Primary

Addresses

Primary practice location

401 N Garfield Ave Ste 201
Monterey Park, CA 91754-1207

Mailing address

401 N Garfield Ave Ste 201
Monterey Park, CA 91754-1207
Phone (626) 288-2266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95007736CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Philip Y. Zhuo, M.D. Inc. PastSince Dec 4, 2010 Accepting new patients

Organizations & group practices 1

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": "1512691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1962917252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N GARFIELD AVE STE 201",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541207",
            "telephone_number": "626-288-2266",
            "fax_number": "888-313-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N GARFIELD AVE STE 201",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541207",
            "telephone_number": "626-288-2266",
            "fax_number": "888-313-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KU",
        "first_name": "CONNIE",
        "middle_name": "YUNG-JANE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-08",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "deactivation_date": "2018-01-17",
        "reactivation_date": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.