Active NPI
Christine Yuri Choi, NP
- Pediatric Nurse Practitioner
- Brea, CA
National Provider Identifier
1235635129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 95008561
- Practice address
- 955 W Imperial Hwy Ste 200
Brea, CA 92821 - Phone
- (714) 449-6900
- Fax
- (714) 449-6971
- NPI assigned
- Apr 1, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 95008561 | CA | Primary |
Addresses
Primary practice location
955 W Imperial Hwy Ste 200
Brea, CA 92821
Mailing address
955 W Imperial Hwy Ste 200
Brea, CA 92821-3812
Phone (714) 449-6900
Other practice location 1
4300 Rose Dr
Yorba Linda, CA 92886
Phone (714) 577-6677
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cchoi1374165@oc.providencedirect.org |
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| St Jude Hospital Inc | Past | Accepting new patients | |
| Providence Medical Foundation | Past | Accepting new patients |
Locations
200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715817600000",
"number": "1235635129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 W IMPERIAL HWY STE 200",
"city": "BREA",
"state": "CA",
"postal_code": "928213812",
"telephone_number": "714-449-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 W IMPERIAL HWY STE 200",
"city": "BREA",
"state": "CA",
"postal_code": "92821",
"telephone_number": "714-449-6900",
"fax_number": "714-449-6971"
}
],
"practiceLocations": [
{
"address_1": "4300 Rose Dr",
"address_purpose": "LOCATION",
"city": "Yorba Linda",
"state": "CA",
"postal_code": "92886",
"country_code": "US",
"telephone_number": "714-577-6677",
"fax_number": "714-223-6764",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHOI",
"first_name": "CHRISTINE",
"middle_name": "YURI",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-01",
"last_updated": "2024-05-16",
"certification_date": "2024-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "95008561",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cchoi1374165@oc.providencedirect.org",
"affiliation": "N",
"address_1": "4300 Rose Dr",
"city": "Yorba Linda",
"state": "CA",
"country_code": "US",
"postal_code": "92886",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.