Active NPI
Kevin Jae Choi, M.D.
- Otolaryngology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- A156572
- Practice address
- 966 S Western Ave Ste 101
Los Angeles, CA 90006-1014 - Phone
- (213) 267-2566
- Fax
- (213) 463-9131
- NPI assigned
- Apr 20, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngic Allergy Physician | 207YX0602X | A156572 | CA | |
| Pediatric Otolaryngology Physician | 207YP0228X | A156572 | CA | |
| Otolaryngology Physician | 207Y00000X | A156572 | CA | Primary |
Addresses
Primary practice location
966 S Western Ave Ste 101
Los Angeles, CA 90006-1014
Mailing address
966 S Western Ave Ste 101
Los Angeles, CA 90006-1014
Phone (213) 267-2566
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Eastern Virginia Medical School, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
966 S Western Ave
Los Angeles, CA 90006-1014
Phone (213) 267-2256
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A156572 | CA | MD | Otolaryngic Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JKPC, LLC | Otolaryngology | Current | Accepting new patients |
| Kevin Jae Choi, MD, Ms a Professional Medical Corporation | Otolaryngology | Current | Accepting new patients |
| Geoffrey Trenkle DO a Professional Medical Corporation | Otolaryngology | Past | Accepting new patients |
| Samir a Shah MD Professional Corporation | Past | Accepting new patients |
Locations
5832 Beach Blvd
Unit 206
Buena Park, CA 90621
Phone (714) 752-6835
903 Crenshaw Blvd
Ste 105
Los Angeles, CA 90019
Phone (323) 240-2900
966 S Western Ave
Ste 101
Los Angeles, CA 90006
Phone (213) 267-2256
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- kevin.choi@244638591549444.direct.elationemr.com
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 and National Provider Directory roles.
-
- Medical Specialty Clinic/Center
- Los Angeles, CA
- NPI 1831731611
Otolaryngology
-
- Otolaryngology Physician
- Los Angeles, CA
- NPI 1992124978
-
- Ophthalmology Physician
- Huntington Beach, CA
- NPI 1700197365
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glendale, CA
- NPI 1831188275
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1508859323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595980800000",
"number": "1134486681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "966 S WESTERN AVE STE 101",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900061014",
"telephone_number": "213-267-2566",
"fax_number": "213-463-9131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "966 S WESTERN AVE STE 101",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900061014",
"telephone_number": "213-267-2566",
"fax_number": "213-463-9131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "KEVIN",
"middle_name": "JAE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-20",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0602X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "CA",
"license": "A156572",
"primary": false
},
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "CA",
"license": "A156572",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "A156572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.