JENNIE YOO (MD) – Psychiatry Physician, NPI 1023670130

JENNIE YOO (MD) is a healthcare provider. based in Los angeles, California. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. A176064 (CA). The NPI Number for JENNIE YOO (MD) is 1023670130

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JENNIE YOO (MD)
NPI
1023670130
Phone
Not provided
Address
2010 ZONAL AVE # 1P10
Enumeration Date
28 June 2019
Last Update Date
23 August 2023

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Secondary Phone
6505732222
Graduation Year
2019 (7 years ago)
PAC ID
5698150217
Group Practice PAC ID
9032023171
Professional Enrollment ID
I20220919001622
Address ID
CA944034364SA222XXAVEX400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

4,160 PSYCHIATRY in CA

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Provider Addresses for JENNIE YOO (MD)

  • 2010 ZONAL AVE # 1P10

    LOS ANGELES, CA 900331026

    Phone:

    Type: Mailing

  • 1200, North State Street, Boyle Heights, Los Angeles, Los Angeles County, California, 90033, United States

    LOS ANGELES, CA 900891001

    Phone: (323) 409-5555

    Type: Location

  • 1950 ALAMEDA DE LAS PULGAS

    SAN MATEO, CA 944031222

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-19

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220919001622IPsychiatryCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes6227$0
View full utilization report →

Insurance plans in this area (ZIP 90033)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032023171View full group profile
NameSpecialtyState
Internal MedicineCA
-CA
-CA
Family PracticeWA
-CT
O T O L A R Y N G O L O G YCA
Neurology, NeuropsychiatryCA
Diagnostic RadiologyCA
A N E S T H E S I O L O G YCA
-CA

Reviews

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Frequently asked questions

What unique ID ties claims to JENNIE YOO (MD)?
NPI 1023670130 is assigned to JENNIE YOO (MD) under the national enumeration system.
Is JENNIE YOO (MD)'s NPI currently valid?
The extract we use shows JENNIE YOO (MD) as active.
What kind of provider is JENNIE YOO (MD)?
The page reflects Psychiatry Physician for JENNIE YOO (MD). Clinical services aligned with this taxonomy classification.
Where is JENNIE YOO (MD)'s primary listing?
We display Los Angeles, California because that is what the record indicates for JENNIE YOO (MD).
Is JENNIE YOO (MD) a real provider?
This page reflects official NPPES data for NPI 1023670130. Always confirm identity and privileges with the practice and licensing boards.

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