Organization Active NPI

Chang-Ho Chon, DO and Telianne Chon, DO, Inc

  • Anesthesiology Physician
  • Riverside, CA
National Provider Identifier
1104314095
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CHANG-HO CHON, DO AND TELIANNE CHON, DO, INC
Practice address
4234 Riverwalk Pkwy Ste 140
Riverside, CA 92505-3304
Phone
(951) 688-8060
Fax
(951) 688-8070
NPI assigned
Apr 25, 2018
Last updated
Apr 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Authorized official

Name
Chang-Ho L Chon, DO
Title
President
Phone
(909) 466-9690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

4234 Riverwalk Pkwy Ste 140
Riverside, CA 92505-3304

Mailing address

4234 Riverwalk Pkwy Ste 140
Riverside, CA 92505-3304

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1104314095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PKWY STE 140",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PKWY STE 140",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053304",
            "telephone_number": "951-688-8060",
            "fax_number": "951-688-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANG-HO CHON, DO AND TELIANNE CHON, DO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "CHON",
        "authorized_official_first_name": "CHANG-HO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-466-9690",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.