STEPHANIE YUN-JI JO
NPI 1679223259
Student in an Organized Health Care Education/Training Program in Riverside, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Stephanie Jo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Riverside, CA 92505
- Reassigned Medicare billing, California enrollment
- Also billed through NPI 1952333460 (California)
- 5,228 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
RIVERSIDE, CA 92505
RIVERSIDE, CA 92505
RIVERSIDE, CA 92505
RIVERSIDE, CA 92505
RIVERSIDE, CA 92505
RIVERSIDE, CA 92505
RIVERSIDE, CA 92505
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.
Which organization bills Medicare for Stephanie Jo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Jo reassigns Medicare benefits to Southern California Permanente Medical Group (Riverside, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Jo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Stephanie Yun-Ji Jo · NPI 1679223259
Student in an Organized Health Care Education/Training Program provider in Riverside, California. Individual provider, active in the CMS NPPES registry since March 25, 2022.
## Identity
- **NPI:** 1679223259 (Entity type: Individual)
- **Enumerated:** March 25, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 10800 MAGNOLIA AVE # 242, Riverside, CA 92505-3043
- **Phone:** (833) 574-2273
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1316979834, Riverside, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oakland Univ, William Beaumont School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** July 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1679223259) · Data from the CMS NPPES public registry.