Individual provider Active NPI

Jaclynne Y. Magno-Choi, O.D.

  • Optometrist
  • Santa Fe Springs, CA
National Provider Identifier
1215191077
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13532TLG Issued in CA
Practice address
13310 Telegraph Rd
Santa Fe Springs, CA 90670-4016
Phone
(562) 903-1618
Fax
(562) 249-7679
NPI assigned
Jul 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13532TLG CA Primary

Addresses

Primary practice location

13310 Telegraph Rd
Santa Fe Springs, CA 90670-4016

Mailing address

11611 Chadwick Rd
Corona, CA 92878-9450
Phone (714) 747-0741

Other names 1

  • Mrs. Jaclynne Y. Choi Former name

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
I20190219000820 CA Practitioner - Optometry 9234207358 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13532TLGCAMDOptometrist

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1215191077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11611 CHADWICK RD",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928789450",
            "telephone_number": "714-747-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13310 TELEGRAPH RD",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906704016",
            "telephone_number": "562-903-1618",
            "fax_number": "562-249-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNO-CHOI",
        "first_name": "JACLYNNE",
        "middle_name": "Y.",
        "name_prefix": "Mrs.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-10",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13532TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACLYNNE",
            "last_name": "CHOI",
            "middle_name": "Y.",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Fe Springs, CA

Sources for this page

Verify at the official NPI Registry.