Individual provider Active NPI

Young-Sik Cho, NP

  • Family Nurse Practitioner
  • Irvine, CA
National Provider Identifier
1063937902
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95009224 Issued in CA
Practice address
3345 Michelson Dr Ste 100
Irvine, CA 92612-0693
Phone
(888) 227-3312
NPI assigned
Aug 11, 2017
Last updated
Aug 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 202101583NP-PP OR
Family Nurse Practitioner 363LF0000X 1081262 TX
Family Nurse Practitioner 363LF0000X NUR-APRN-LIC-165613 MT
Family Nurse Practitioner 363LF0000X AP60783982 WA
Family Nurse Practitioner 363LF0000X 95009224 CA Primary

Addresses

Primary practice location

3345 Michelson Dr Ste 100
Irvine, CA 92612-0693

Mailing address

1717 Sunrise LN
Fullerton, CA 92833-1729
Phone (425) 205-8080

Other practice location 1

1803 S Harbor Blvd
Anaheim, CA 92802
Phone (866) 389-2727

Other practice location 2

1344 W Redondo Beach Blvd
Gardena, CA 90247-3356
Phone (310) 353-5726

Other practice location 3

4515 Marsha Sharp Fwy
Lubbock, TX 79407-2520
Phone (806) 744-7223

Other identifiers 2

IdentifierTypeStateIssuer
AP60783982OtherWAWA STATE DEPARTMENT OF HEALTH
NP95009224OtherCACA BOARD OF REGISTERED NURSING

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180829002812 CA Practitioner - Nurse Practitioner 8921361502 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95009224CAMDFamily Nurse Practitioner
NUR-APRN-LIC-165613MTMDFamily Nurse Practitioner
202101583NP-PPORMDFamily Nurse Practitioner
1081262TXMDFamily Nurse Practitioner
AP60783982WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic Medical Group of Orange County Inc Family CurrentSince Jul 26, 2018 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Dec 9, 2019 Accepting new patients
Providence Facey Medical Foundation CurrentSince Oct 28, 2019 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Dec 9, 2019 Accepting new patients
Providence Facey Medical Foundation CurrentSince Oct 28, 2019 Accepting new patients
Express Care Ak LLC PastSince Apr 19, 2020 Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

1803 S Harbor Blvd
Anaheim, CA 92802
Phone (714) 817-9116

6261 Stanton Ave
Fl 1
Buena Park, CA 90621
Phone (714) 739-4325

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

1344 W Redondo Beach Blvd
Gardena, CA 90247
Phone (310) 353-5726

19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400

921 Pacific Coast Hwy
Seal Beach, CA 90740
Phone (562) 598-0473

33205 US Highway 79
Temecula, CA 92592
Phone 9513033164 ext. 8221

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1063937902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 SUNRISE LN",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928331729",
            "telephone_number": "425-205-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 MICHELSON DR STE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926120693",
            "telephone_number": "888-227-3312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1803 S Harbor Blvd",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "92802",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1344 W Redondo Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Gardena",
            "state": "CA",
            "postal_code": "902473356",
            "country_code": "US",
            "telephone_number": "310-353-5726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4515 Marsha Sharp Fwy",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794072520",
            "country_code": "US",
            "telephone_number": "806-744-7223",
            "fax_number": "806-740-3325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHO",
        "first_name": "YOUNG-SIK",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-11",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202101583NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1081262",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NUR-APRN-LIC-165613",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60783982",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE DEPARTMENT OF HEALTH",
            "identifier": "AP60783982",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA BOARD OF REGISTERED NURSING",
            "identifier": "NP95009224",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.