STEPHANIE YUN-JI JO
NPI 1679223259
Student in an Organized Health Care Education/Training Program in Riverside, CA

Active since March 25, 2022PECOS EnrolledAccepts Medicare Assignment
10800 MAGNOLIA AVE # 242, RIVERSIDE, CA 92505(833) 574-2273 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Yun-ji Jo NPPES

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

STEPHANIE YUN-JI JO (NPI 1679223259) is an individual student in an organized health care education/training program in Riverside, California and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Oakland Univ, William Beaumont School Of Medicine (2022).

NPPES Registry Identity

NPI1679223259
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSTEPHANIE YUN-JI JO
Location Address10800 MAGNOLIA AVE # 242Riverside, CA 92505-3043
Mailing Address10800 Magnolia Ave # 242Riverside, CA 92505-3043
Sole ProprietorNo
Medical School CMSOakland Univ, William Beaumont School Of MedicineGraduated 2022
Enumeration DateMarch 25, 2022
Last NPPES UpdateJuly 25, 2022
NPPES CertifiedMarch 22, 2022
NPI 1679223259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
10800 MAGNOLIA AVE # 242, Riverside, CA 92505

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

Stephanie Yun-ji Jo 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 ID7618408840
PECOS Enrollment IDI20250506000000
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.

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.

Student in an Organized Health Care Education/Training Program
10800 MAGNOLIA AVE # 242
RIVERSIDE, CA 92505
Student in an Organized Health Care Education/Training Program
10800 MAGNOLIA AVE # 242
RIVERSIDE, CA 92505
Family Medicine (Geriatric Medicine)
10800 MAGNOLIA AVE # 242
RIVERSIDE, CA 92505
Student in an Organized Health Care Education/Training Program
10800 MAGNOLIA AVE # 242
RIVERSIDE, CA 92505
Student in an Organized Health Care Education/Training Program
10800 MAGNOLIA AVE # 242
RIVERSIDE, CA 92505
Student in an Organized Health Care Education/Training Program
10800 MAGNOLIA AVE # 242
RIVERSIDE, CA 92505
Student in an Organized Health Care Education/Training Program
10800 MAGNOLIA AVE # 242
RIVERSIDE, CA 92505
Student in an Organized Health Care Education/Training Program
10800 MAGNOLIA AVE # 242
RIVERSIDE, CA 92505

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 Stephanie Jo's NPI number?

The NPI number for Stephanie Jo is 1679223259. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Where is Stephanie Jo located?

Stephanie Jo practices at 10800 Magnolia Ave # 242, Riverside, CA 92505. The listed phone number is (833) 574-2273.

What is Stephanie Jo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Stephanie Jo enrolled in Medicare?

Yes. Stephanie Jo 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 Stephanie Jo was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.