Individual provider Active NPI

Adina Cho, PA-C

  • Physician Assistant
  • Los Angeles, CA
National Provider Identifier
1124510953
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA55737 Issued in CA
Practice address
3724 Crenshaw Blvd
Los Angeles, CA 90016-5804
Phone
(888) 227-3312
NPI assigned
Jun 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA55737 CA Primary

Addresses

Primary practice location

3724 Crenshaw Blvd
Los Angeles, CA 90016-5804

Mailing address

3724 Crenshaw Blvd
Los Angeles, CA 90016-5804
Phone (888) 227-3312

Other practice location 1

11190 Warner Ave Ste 300
Fountain Valley, CA 92708-4045
Phone (714) 241-7000

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
I20180925000188 CA Practitioner - Physician Assistant 0749531135 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Southern California Keck School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chanukya Dasari MD a Professional CorporationGroup PAC ID 8224526173, 11 clinicians
Professional Wound Specialists PCGroup PAC ID 2062946163, 7 clinicians
Ming-Wei Wu IncGroup PAC ID 4284726159, 38 clinicians
Sharwin Tafazoli IncGroup PAC ID 8729416953, 59 clinicians

Practice addresses (Care Compare)

La Puente, CA 91744
Phone (916) 848-5412

Pomona, CA 91768
Phone (888) 434-8880

135 S State College Blvd
Suite 200
Brea, CA 92821-5805
Phone 88843488806

1819 Washington Ave
Apt a
Santa Monica, CA 90403-3324
Phone (310) 382-0233

Hospital & facility affiliations

  • Pacifica Hospital of the Valley Hospital, Sun Valley, CA, CCN 050378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA55737CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lido Chen, M.D. Inc Current Accepting new patients
Sharwin Tafazoli Inc CurrentSince Jan 18, 2026 Accepting new patients
Chanukya Dasari MD a Professional Corporation CurrentSince Oct 24, 2025 Accepting new patients

Locations

1840 N Hacienda Blvd
Ste 12
La Puente, CA 91744
Phone (626) 541-0021

23521 Paseo de Valencia
Ste 204
Laguna Hills, CA 92653
Phone (949) 364-8959

710 Coronado Center Dr
Ste 200
Henderson, NV 89052
Phone (702) 528-6478

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: adina.cho@398008301912068.direct.elationemr.com

Organizations & group practices 7

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": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1124510953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3724 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900165804",
            "telephone_number": "888-227-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3724 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900165804",
            "telephone_number": "888-227-3312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11190 Warner Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927084045",
            "country_code": "US",
            "telephone_number": "714-241-7000",
            "fax_number": "714-241-7003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHO",
        "first_name": "ADINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA55737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.