Individual provider Active NPI

Jaehyun Cho, PA

  • Medical Physician Assistant
  • Mission Viejo, CA
National Provider Identifier
1053952002
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
57407 Issued in CA
Practice address
26800 Crown Valley Pkwy Ste 150
Mission Viejo, CA 92691-8018
Phone
(949) 276-2111
NPI assigned
Oct 1, 2019
Sex
Male
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Jason Kellogg MD Inc 19 clinicians
Prime Consult and Care Inc 3 clinicians
Providence Medical Foundation 1,461 clinicians
Telemedicine Urgent Care Inc 15 clinicians

Practice addresses (Care Compare)

17782 Cowan
Suite a
Irvine, CA 92614-6041
Phone (949) 722-7118

1945 Palo Verde Ave
Suite 207
Long Beach, CA 90815-3445
Phone (562) 354-0002

1950 Sunny Crest Dr
Suite 2900
Fullerton, CA 92835-3641
Phone (714) 992-5350

26040 Acero
Suite 104
Mission Viejo, CA 92691-2768
Phone (949) 503-0002

5888 Edinger Ave
Huntington Beach, CA 92649-1705
Phone (714) 716-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210226001378 CA Practitioner - Physician Assistant 3476968322 Reassigns benefits to 4 organizations
I20250604002515 CA Practitioner - Psychiatry 3476968322 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Physician Assistant

State licenses

LicenseStateTypeSpecialty
57407CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Mar 6, 2023 Accepting new patients
Providence Medical Foundation CurrentSince Mar 6, 2023 Accepting new patients
Jason Kellogg M.D. Inc Psychiatry CurrentSince Jan 30, 2026 Accepting new patients
Primary Choice MD Inc Past Accepting new patients

Locations

1715 S Cedar Ave
Fresno, CA 93702
Phone (559) 237-8377

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

17782 Cowan
Ste A
Irvine, CA 92614

26800 Crown Valley Pkwy
Ste 150
Mission Viejo, CA 92691
Phone (949) 276-2111

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 57407 CA
Medical Physician Assistant 363AM0700X 57407 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

26800 Crown Valley Pkwy Ste 150
Mission Viejo, CA 92691-8018

Mailing address

26800 Crown Valley Pkwy Ste 150
Mission Viejo, CA 92691-8018
Phone (949) 276-2111

Other practice location 1

17612 17th St
Tustin, CA 92780-1962
Phone (714) 243-5450

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 1, 2026.

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1053952002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26800 CROWN VALLEY PKWY STE 150",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918018",
            "telephone_number": "949-276-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26800 CROWN VALLEY PKWY STE 150",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918018",
            "telephone_number": "949-276-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17612 17th St",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927801962",
            "country_code": "US",
            "telephone_number": "714-243-5450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHO",
        "first_name": "JAEHYUN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-01",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "57407",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "57407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.