TINA YU-TING SOO N.P
NPI 1447494679
Nurse Practitioner in Los Angeles, CA

Active since May 01, 2009PECOS EnrolledAccepts Medicare Assignment
1441 EASTLAKE AVE, NOR 8302E, LOS ANGELES, CA 90089(323) 865-3000(323) 865-3868 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 12, 2020, Jun 18, 2016 (2 updates tracked since 2016).

About Tina Yu-ting Soo N.p NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TINA YU-TING SOO N.P (NPI 1447494679) is an individual nurse practitioner in Los Angeles, California, licensed in California (13554) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1447494679
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTINA YU-TING SOOCredential: N.P
Location Address1441 EASTLAKE AVE, NOR 8302ELos Angeles, CA 90089-0112
Mailing AddressPo Box 31309Los Angeles, CA 90031-0309 · (323) 865-3000
Fax(323) 865-3868
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 1, 2009
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedOctober 12, 2020
NPI 1447494679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 13554
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1441 EASTLAKE AVE, Los Angeles, CA 90089

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tina Yu-ting Soo N.p is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173679537
PECOS Enrollment IDI20090926000034
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
78 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90089 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers70 claims4,184 services$0.65 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier46 claims46 services$18.96 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers25 claims25 services$11.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
Physician Assistant (Surgical)
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
Dermatology
1441 EASTLAKE AVE, TOPPING TOWER, SUITE 3405
LOS ANGELES, CA 90089
Nurse Practitioner (Acute Care)
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
Dietitian, Registered
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
Surgery (Surgical Oncology)
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
Internal Medicine (Hematology & Oncology)
1441 EASTLAKE AVE
LOS ANGELES, CA 90089
Student in an Organized Health Care Education/Training Program
1441 EASTLAKE AVE
LOS ANGELES, CA 90089

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tina Soo's NPI number?

The NPI number for Tina Soo is 1447494679. It was assigned to this individual provider in the NPPES registry on May 1, 2009.

Where is Tina Soo located?

Tina Soo practices at 1441 Eastlake Ave Nor 8302E, Los Angeles, CA 90089. The listed phone number is (323) 865-3000.

What is Tina Soo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tina Soo enrolled in Medicare?

Yes. Tina Soo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tina Soo was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.