DR. JI HYUNG YOO (M.D.) – Psychiatry Physician, NPI 1942284666

DR. JI HYUNG YOO (M.D.) is a healthcare provider. based in Vista, California. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. C53382 (CA). The NPI Number for DR. JI HYUNG YOO (M.D.) is 1942284666

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. JI HYUNG YOO (M.D.)
NPI
1942284666
Phone
(877) 496-0450
Address
780 SHADOWRIDGE DR
Enumeration Date
6 December 2005
Last Update Date
29 November 2021

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE
Secondary Phone
6195285000
Graduation Year
1998 (28 years ago)
PAC ID
4981769650
Group Practice PAC ID
6002729175
Professional Enrollment ID
I20090212000089
Address ID
CA921202507SA4647XAVEX300

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
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

4,134 PSYCHIATRY in CA

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Provider Addresses for DR. JI HYUNG YOO (M.D.)

  • 780, Shadowridge Drive, Vista, San Diego County, California, 92081, United States

    VISTA, CA 920837986

    Phone: (877) 496-0450

    Mailing address matches the actual address.

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: 2009-02-12

PECOS data refreshed: 2026-05-27

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
I20090212000089IPsychiatryCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92083)

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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: 6002729175View full group profile
NameSpecialtyState
U R O L O G YOH
Nurse PractitionerCA
Internal MedicineCA
Internal MedicineCA
Internal Medicine, GastroenterologyCA
Physician AssistantCA
Emergency MedicineNC
O P H T H A L M O L O G YCA
Anesthesiology, Pain ManagementNH
Family Practice, Sports MedicineCA

Reviews

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Frequently asked questions

What NPI should I save for DR. JI HYUNG YOO (M.D.)?
Save NPI 1942284666 if you need a stable reference for DR. JI HYUNG YOO (M.D.).
Is DR. JI HYUNG YOO (M.D.)'s NPI currently valid?
The extract we use shows DR. JI HYUNG YOO (M.D.) as active.
What field does DR. JI HYUNG YOO (M.D.) work in?
You can think of DR. JI HYUNG YOO (M.D.) as practicing within Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. JI HYUNG YOO (M.D.)?
The page summarizes Vista, California for DR. JI HYUNG YOO (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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