Active NPI
Miriam Cho, M.D
- Geriatric Medicine (Family Medicine) Physician
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- A99950
- Practice address
- 7117 Brockton Ave
Riverside, CA 92506-2658 - Phone
- (951) 782-3616
- Fax
- (951) 784-3268
- NPI assigned
- Apr 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | A99950 | CA | Primary |
Addresses
Primary practice location
7117 Brockton Ave
Riverside, CA 92506-2658
Mailing address
7117 Brockton Ave
Riverside, CA 92506-2658
Phone (951) 782-3616
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A99950 | Other | CA | LICENSE |
| ZZZ31887Z | Other | CA | SITE PTAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081106000771 | CA | Practitioner - Geriatric Medicine | 4688733587 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Geriatric Medicine
- Education
- Loma Linda University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern California Permanente Medical GroupRiverside Medical Clinic Inc
Practice addresses (Care Compare)
10800 Magnolia Ave
Riverside, CA 92505-3043
Phone (951) 353-2000
7117 Brockton Ave
Riverside, CA 92506-2658
Phone (951) 683-6370
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A99950 | CA | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Riverside Medical Clinic, Inc | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Riverside Medical Clinic, Inc | Current | Accepting new patients | |
| Riverside Medical Clinic, Inc | Current | Accepting new patients |
Locations
393 E Walnut St
Unit 3RD
Pasadena, CA 91188
Phone (626) 405-7914
10800 Magnolia Ave
Riverside, CA 92505
Phone (951) 353-2000
3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Maintenance Organization
- Riverside, CA
- NPI 1316979834
CA
-
- Internal Medicine Physician
- Riverside, CA
- NPI 1730180415
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Clinical Medical Laboratory
- N Hollywood, CA
- NPI 1891873303
-
- Health Maintenance Organization
- Woodland Hills, CA
- NPI 1952333478
-
- Internal Medicine Physician
- Riverside, CA
- NPI 1871902452
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744329600000",
"number": "1003036187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7117 BROCKTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062658",
"telephone_number": "951-782-3616",
"fax_number": "951-784-3268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7117 BROCKTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062658",
"telephone_number": "951-782-3616",
"fax_number": "951-784-3268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHO",
"first_name": "MIRIAM",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-30",
"last_updated": "2025-04-11",
"certification_date": "2025-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "CA",
"license": "A99950",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "A99950",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SITE PTAN",
"identifier": "ZZZ31887Z",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "10800 Magnolia Ave",
"city": "Riverside",
"state": "CA",
"country_code": "US",
"postal_code": "925053043",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.