Individual provider Active NPI

Hoeung Moeung Chov, DPM

  • Podiatrist
  • Downey, CA
National Provider Identifier
1194826024
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4267 Issued in CA
Practice address
11003 Lakewood Blvd
Suite 102
Downey, CA 90241-3809
Phone
(562) 869-3668
Fax
(562) 869-8409
NPI assigned
Sep 25, 2006
Last updated
Jan 9, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E4267 CA Primary

Addresses

Primary practice location

11003 Lakewood Blvd
Suite 102
Downey, CA 90241-3809

Mailing address

PO Box 40494
Downey, CA 90239-1494
Phone (626) 497-3300

Other identifiers 1

IdentifierTypeStateIssuer
000E42671MedicaidCA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040514000617 CA Practitioner - Podiatry 3072503762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11003 Lakewood Blvd
Suite 102
Downey, CA 90241-3876
Phone (562) 869-3668

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16
Removal of nail tissue2424
Removal or shaving of skin growth556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000843GAMDMarriage & Family Therapist
E4267CAMDPodiatrist
4267CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Downey Podiatry Center, Inc. Podiatrist CurrentSince Feb 15, 2007 Accepting new patients
Southern Podiatry Group, PC Past Accepting new patients
Southern Podiatry Group, PC Podiatrist Past Accepting new patients
Joseph Addiego Podiatrist Past Accepting new patients
Pih Health Downey Hospital Past Accepting new patients
Jittima Jirasetpatana Podiatrist Past Accepting new patients

Locations

897 W Valley Blvd
Colton, CA 92324
Phone (909) 254-2780

11003 Lakewood Blvd
Ste 102
Downey, CA 90241
Phone (562) 869-3668

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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, 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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1194826024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40494",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902391494",
            "telephone_number": "626-497-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11003 LAKEWOOD BLVD",
            "address_2": "SUITE 102",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413809",
            "telephone_number": "562-869-3668",
            "fax_number": "562-869-8409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOV",
        "first_name": "HOEUNG",
        "middle_name": "MOEUNG",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E42671",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.