Active NPI
Giyong Cho, DMD
- Endodontics
- Montebello, CA
National Provider Identifier
1245917731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 108851
- Practice address
- 600 W Beverly Blvd Ste B
Montebello, CA 90640-3660 - Phone
- (323) 721-9777
- NPI assigned
- Jun 28, 2023
- Last updated
- Aug 27, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 108851 | CA | Primary |
Addresses
Primary practice location
600 W Beverly Blvd Ste B
Montebello, CA 90640-3660
Mailing address
600 W Beverly Blvd Ste B
Montebello, CA 90640-3660
Phone (323) 721-9777
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108851 | CA | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bardi-Pak Dental Corporation | Endodontics | Current | Accepting new patients |
| F.M. Bardi DDS Apc | Endodontics | Past | Accepting new patients |
Locations
600 W Beverly Blvd
Ste B
Montebello, CA 90640
Phone (310) 804-5479
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": "1687910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693094400000",
"number": "1245917731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 W BEVERLY BLVD STE B",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906403660",
"telephone_number": "323-721-9777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 W BEVERLY BLVD STE B",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906403660",
"telephone_number": "323-721-9777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHO",
"first_name": "GIYONG",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-28",
"last_updated": "2023-08-27",
"certification_date": "2023-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "CA",
"license": "108851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montebello, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.