Individual provider Active NPI

Cheong W Choi, MD

  • Internal Medicine Physician
  • Van Nuys, CA
National Provider Identifier
1093800138
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A36503 Issued in CA
Practice address
16912 Sherman Way
Van Nuys, CA 91406
Phone
(818) 881-9444
Fax
(818) 343-8943
NPI assigned
Oct 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A36503 CA Primary

Addresses

Primary practice location

16912 Sherman Way
Van Nuys, CA 91406

Mailing address

16912 Sherman Way
Van Nuys, CA 91406
Phone (818) 881-9444

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
I20101229000676 CA Practitioner - Internal Medicine 7315135795 Reassigns benefits to 1 organization
Practice locations: Van Nuys, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A36503CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Y J Lee MD Corp Internal Medicine Current Accepting new patients
Y J Lee MD Corp Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
Calvin Kim MD Internal Medicine PastSince Jun 1, 2021 Accepting new patients
Valley Presbyterian Hospital Past Accepting new patients

Locations

266 S Harvard Blvd
Ste 100
Los Angeles, CA 90004
Phone (213) 383-9388

16912 Sherman Way
Van Nuys, CA 91406
Phone (818) 881-9444

Organizations & group practices 4

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093800138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16912 SHERMAN WAY",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91406",
            "telephone_number": "818-881-9444",
            "fax_number": "818-343-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16912 SHERMAN WAY",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91406",
            "telephone_number": "818-881-9444",
            "fax_number": "818-343-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "CHEONG",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A36503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.