Individual provider Active NPI

Jae Hee Choe, DO

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1144849910
Registry record updated Mar 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A20844 Issued in CA
Practice address
767 N Hill St Ste 200
Los Angeles, CA 90012-2365
Phone
(213) 808-1792
NPI assigned
Apr 13, 2020
Last updated
Mar 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A20844 CA Primary

Addresses

Primary practice location

767 N Hill St Ste 200
Los Angeles, CA 90012-2365

Mailing address

767 N Hill St Ste 200
Los Angeles, CA 90012-2365
Phone (213) 808-1792

Other practice location 1

801 S Chevy Chase Dr Ste 201
Glendale, CA 91205-4435
Phone (818) 500-5535

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
I20210901002582 CA Order and Referring Only - Family PracticePractitioner - Family Practice 8921404880

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A20844CAMDFamily Medicine Physician
1350CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chinatown Service Center CurrentSince Mar 12, 2024 Accepting new patients
Chinatown Service Center PastSince Mar 12, 2024 Accepting new patients

Locations

767 N Hill St
Ste 200
Los Angeles, CA 90012
Phone (213) 808-1700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jaehee.choe.p1@direct.cscla.nextgenshare.com

Organizations & group practices 2

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": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711756800000",
    "number": "1144849910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 N HILL ST STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122365",
            "telephone_number": "213-808-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 N HILL ST STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122365",
            "telephone_number": "213-808-1792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 S Chevy Chase Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912054435",
            "country_code": "US",
            "telephone_number": "818-500-5535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOE",
        "first_name": "JAE",
        "middle_name": "HEE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-13",
        "last_updated": "2024-03-30",
        "certification_date": "2024-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A20844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.