Active NPI
Young Choi, O.D.
- Optometrist
- Pinole, CA
National Provider Identifier
1164805933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT33540 TLG
- Practice address
- 1420 Tara Hills Dr Ste D
Pinole, CA 94564-2530 - Phone
- (510) 724-1768
- NPI assigned
- Jun 29, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6363 | OH | |
| Optometrist | 152W00000X | OPT33540 TLG | CA | Primary |
Addresses
Primary practice location
1420 Tara Hills Dr Ste D
Pinole, CA 94564-2530
Mailing address
1420 Tara Hills Dr Ste D
Pinole, CA 94564-2530
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT33540 TLG | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477872000000",
"number": "1164805933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 TARA HILLS DR STE D",
"city": "PINOLE",
"state": "CA",
"postal_code": "945642530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 TARA HILLS DR STE D",
"city": "PINOLE",
"state": "CA",
"postal_code": "945642530",
"telephone_number": "510-724-1768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "YOUNG",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-29",
"last_updated": "2016-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "6363",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT33540 TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinole, CA
- Chhina Dental Group (Pinole Family Dental)
- Chiral Mind Psychiatry a Professional Nursing Corporation
- Chiyo Shidara D.D.S., Apc
- Emily Choh
- Christine Choi
- Leslie C. Chow, D.M.D.
- Morgan Christiansen, PT, DPT
- Cipriano M de Los Reyes Jr MD Inc
- Zarinah Clark
- Claudell Stephens MD and Yvonne Cobbs NP Medical Practices
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.