Organization Active NPI

Bung Joo Choi Physician Assistant PC

  • Medical Physician Assistant
  • Northridge, CA
National Provider Identifier
1043023351
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
BUNG JOO CHOI PHYSICIAN ASSISTANT PC
Practice address
8619 Reseda Blvd Ste 104
Northridge, CA 91324-4048
Phone
(818) 207-0600
Fax
(888) 830-8393
NPI assigned
Jan 30, 2025
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bung Joo Choi, PANPI 1851615371
Title
Ceo
Phone
(404) 433-3737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU Primary

Addresses

Primary practice location

8619 Reseda Blvd Ste 104
Northridge, CA 91324-4048

Mailing address

20556 W Deer Grass CT
Porter Ranch, CA 91326-4990
Phone (404) 433-3737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250314000969 CA Part B Supplier - Clinic/Group Practice 2668994054 Receives reassigned benefits from 4 practitioners
Practice locations: Porter Ranch, CA; Northridge, CA

National Provider Directory

National Provider Directory

Locations

2390 E Orangewood Ave
Ste 450
Anaheim, CA 92806

17020 Chatsworth St
Granada Hills, CA 91344
Phone (818) 213-1212

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1043023351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20556 W DEER GRASS CT",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913264990",
            "telephone_number": "404-433-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8619 RESEDA BLVD STE 104",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244048",
            "telephone_number": "818-207-0600",
            "fax_number": "888-830-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUNG JOO CHOI PHYSICIAN ASSISTANT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "BUNG JOO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-433-3737",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.