Active NPI
Charles Cho, M.D.
- Nephrology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 13530
- Practice address
- 505 S Virgil Ave
Ste. 301
Los Angeles, CA 90020-1406 - Phone
- (213) 674-8282
- Fax
- (213) 232-7013
- NPI assigned
- May 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 75694 | AZ | |
| Nephrology Physician | 207RN0300X | 13530 | NV | Primary |
Addresses
Primary practice location
505 S Virgil Ave
Ste. 301
Los Angeles, CA 90020-1406
Mailing address
505 S Virgil Ave
Ste. 301
Los Angeles, CA 90020-1406
Phone (213) 674-8282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053512566 | Medicaid | NV |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
505 S Virgil Ave
Suite 301
Los Angeles, CA 90020-1443
Phone (213) 674-8282
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75694 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charlie Sam Nephrology | Current | Accepting new patients |
Locations
505 S Virgil Ave
Ste 301
Los Angeles, CA 90020
Phone (213) 674-8282
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Los Angeles, CA
- NPI 1184029712
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba U.S. Renal Care Los Angeles Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Los Angeles, CA
- NPI 1982675682
Dialysis facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415836800000",
"number": "1053512566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 S VIRGIL AVE",
"address_2": "STE. 301",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201406",
"telephone_number": "213-674-8282",
"fax_number": "213-232-7013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 S VIRGIL AVE",
"address_2": "STE. 301",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201406",
"telephone_number": "213-674-8282",
"fax_number": "213-232-7013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHO",
"first_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-30",
"last_updated": "2014-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "75694",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NV",
"license": "13530",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053512566",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.