Individual provider Active NPI

Caroline G Choan, MD

  • Neurology Physician
  • Laguna Hills, CA
National Provider Identifier
1255352498
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G71274 Issued in CA
Practice address
24012 Calle de la Plata Ste 150
Laguna Hills, CA 92653-3632
Phone
(949) 837-1130
Fax
(949) 587-1068
NPI assigned
Jul 22, 2006
Last updated
Jan 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X G71474 CA
Neurology Physician 2084N0400X G71274 CA Primary

Addresses

Primary practice location

24012 Calle de la Plata Ste 150
Laguna Hills, CA 92653-3632

Mailing address

24012 Calle de la Plata Ste 150
Laguna Hills, CA 92653-3632
Phone (949) 837-1130

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101216000669 CA Practitioner - Neurology 4284847781 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
New York University Medical College - NLG, 1989
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

24012 Calle de la Plata
Suite 150
Laguna Hills, CA 92653-3632

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.99 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G71274CAMDNeurology Physician
G71474CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Integrative Neurology With Diagnostics Neurology Current Accepting new patients
Caroline G Choan MD Inc Neurology CurrentSince Jun 18, 2010 Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients

Locations

23961 Calle de la Magdalena
Ste 317
Laguna Hills, CA 92653
Phone (949) 837-1133

24012 Calle de la Plata
Ste 150
Laguna Hills, CA 92653
Phone (949) 837-1130

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1255352498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24012 CALLE DE LA PLATA STE 150",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533632",
            "telephone_number": "949-837-1130",
            "fax_number": "949-587-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24012 CALLE DE LA PLATA STE 150",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533632",
            "telephone_number": "949-837-1130",
            "fax_number": "949-587-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOAN",
        "first_name": "CAROLINE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2024-01-26",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G71474",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G71274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.