Active NPI
Hee Jong L Choi, L.AC
- Physician Assistant
- Northridge, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA20193
- Practice address
- 9900 Balboa Blvd
Suite a
Northridge, CA 91325-5403 - Phone
- (818) 701-0017
- Fax
- (818) 701-0073
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC7572 | CA | |
| Physician Assistant | 363A00000X | PA20193 | CA | Primary |
Addresses
Primary practice location
9900 Balboa Blvd
Suite a
Northridge, CA 91325-5403
Mailing address
9900 Balboa Blvd
Suite a
Northridge, CA 91325-5403
Phone (818) 701-0017
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC7572 | Other | CA | CA LICENSED ACUPUNCTURIST |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4926 Palm Dr
La Canada, CA 91011-1515
5080 Spectrum Dr
Suite 1200W
Addison, TX 75001-6443
5901 W Century Blvd
Suite 750
Los Angeles, CA 90045-5443
9 Meron Dr
Monroe, NY 10950-8436
921 W Angeleno Ave
Apt a
Burbank, CA 91506-2235
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC7572 | CA | MD | Acupuncturist |
| PA20193 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renova Specialty Care PC | Current | Accepting new patients | |
| Balboa Medical & Wellness Center,Inc. | Current | Accepting new patients | |
| Empire Wound Care | Current | Accepting new patients | |
| Raeesy MD Inc | Past | Accepting new patients |
Locations
462 N Linden Dr
Ste 240
Beverly Hills, CA 90212
Phone (310) 247-0718
240 N Beverly Dr
Ste 240
Beverly Hills, CA 90210
136 E Walnut Ave
Monrovia, CA 91016
Phone (323) 803-3284
9900 Balboa Blvd
Ste E
Northridge, CA 91325
Phone (818) 701-0017
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.
-
- Adolescent Medicine (Internal Medicine) Physician
- Beverly Hills, CA
- NPI 1235027293
-
- Clinic/Center
- Los Angeles, CA
- NPI 1750573622
-
- Surgery Physician
- Burbank, CA
- NPI 1437675980
-
- General Practice Physician
- Northridge, CA
- NPI 1215132238
-
- General Practice Physician
- Monrovia, CA
- NPI 1710796792
-
- Internal Medicine Physician
- Encino, CA
- NPI 1366731762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236297600000",
"number": "1124189501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 BALBOA BLVD",
"address_2": "SUITE A",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913255403",
"telephone_number": "818-701-0017",
"fax_number": "818-701-0073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9900 BALBOA BLVD",
"address_2": "SUITE A",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913255403",
"telephone_number": "818-701-0017",
"fax_number": "818-701-0073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "HEE JONG",
"middle_name": "L",
"credential": "L.AC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2009-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC7572",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA20193",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA LICENSED ACUPUNCTURIST",
"identifier": "AC7572",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.