Individual provider Active NPI

Chang-Ho L. Chon, DO

  • Anesthesiology Physician
  • Moreno Valley, CA
National Provider Identifier
1083907752
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20A11641 Issued in CA
Practice address
26520 Cactus Ave
Gme Office, RM A1005
Moreno Valley, CA 92555-3927
Phone
(951) 486-5908
Fax
(951) 486-5910
NPI assigned
May 27, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 20A11641 CA Primary

Addresses

Primary practice location

26520 Cactus Ave
Gme Office, RM A1005
Moreno Valley, CA 92555-3927

Mailing address

26520 Cactus Ave
Gme Office, RM A1005
Moreno Valley, CA 92555-3927
Phone (951) 486-5908

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131116000020 CA Practitioner - Anesthesiology 4587898390 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focused Care Anesthesia Consultants IncGroup PAC ID 6305179466, 6 clinicians
Corona Anesthesia Group IncGroup PAC ID 7416212576, 27 clinicians

Practice addresses (Care Compare)

2370 Anselmo Dr
Corona, CA 92879-7106
Phone (951) 736-0137

800 S Main St
Corona, CA 92882-3420
Phone (951) 737-4343

Hospital & facility affiliations

  • Corona Regional Medical Center Hospital, Corona, CA, CCN 050329

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A11641CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Focused Care Anesthesia Consultants, Inc Anesthesiology CurrentSince Jan 1, 2019 Accepting new patients
Corona Anesthesia Group, Inc. Anesthesiology CurrentSince Feb 1, 2023 Accepting new patients
Riverside Anesthesia Partners Inc Anesthesiology CurrentSince Feb 1, 2026 Accepting new patients
Sound Physicians Anesthesiology of California PC Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
Talbert Anesthesia Group Incorporated Anesthesiology CurrentSince Aug 1, 2023 Accepting new patients
Joseph K Ku MD, a Professional Corporation Past Accepting new patients

Locations

8161 E Kaiser Blvd
Unit 27547
Anaheim, CA 92809

2097 Compton Ave
Ste 101
Corona, CA 92881
Phone (949) 825-5189

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

2370 Anselmo Dr
Corona, CA 92879
Phone (951) 736-0137

4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1083907752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26520 CACTUS AVE",
            "address_2": "GME OFFICE, RM A1005",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925553927",
            "telephone_number": "951-486-5908",
            "fax_number": "951-486-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26520 CACTUS AVE",
            "address_2": "GME OFFICE, RM A1005",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925553927",
            "telephone_number": "951-486-5908",
            "fax_number": "951-486-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHON",
        "first_name": "CHANG-HO",
        "middle_name": "L.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-27",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A11641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.