Jae Woo Seo
NPI 1265070023ActiveIndividual· Physician Assistant· Los Angeles, CA
Physician Assistant with Shine Mmg Inc and 2 other groups, practicing in Los Angeles, California. In 2024 Medicare paid $302,926 for 814 patients, and Part D covered 1,711 of their prescriptions, 86% of them generic.
Overview
| NPI | 1265070023 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Dec 11, 2019 |
| Last updated in NPPES | Dec 14, 2021 |
| Certified by provider | Dec 9, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 814 |
|---|---|
| Services billed | 4,042 across 19 procedure codes |
| Paid by Medicare | $302,926 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,711 · 1,763 30-day fills |
|---|---|
| Patients | 101 |
| Total drug cost | $100,059 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical groups
- Shine Mmg IncGlendale, CA · 24 clinicians
- Excell Integrated Medical Group IncParamount, CA · 16 clinicians
- California Mobile Medical Group IncGlendale, CA · 15 clinicians
Other facilities
- Excell Home Care IncHome health agency · Paramount, CA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 951 physician assistants in Los Angeles · All physician assistants in California