Individual provider Active NPI

Edward Sung Cho, M.D.

  • Surgery Physician
  • Riverside, CA
National Provider Identifier
1265964712
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
175099 Issued in CA
Practice address
4234 Riverwalk Pkwy Ste 230
Riverside, CA 92505-3312
Phone
(367) 295-1781
NPI assigned
Apr 3, 2017
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 175099 CA Primary
Surgical Critical Care Physician 2086S0102X A175099 CA
Trauma Surgery Physician 2086S0127X A175099 CA

Addresses

Primary practice location

4234 Riverwalk Pkwy Ste 230
Riverside, CA 92505-3312

Mailing address

4234 Riverwalk Pkwy Ste 230
Riverside, CA 92505-3312

Other practice location 1

506 6th St
Brooklyn, NY 11215-3609
Phone (718) 780-3000

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
I20230815000955 CA Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 3476915000 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Pennsylvania State University College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El-Bershawi Medical CorpGroup PAC ID 9032298492, 44 clinicians

Practice addresses (Care Compare)

4234 Riverwalk Pkwy
Suite 230
Riverside, CA 92505-3312
Phone (951) 781-3672

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
175099CAMDSurgery Physician
A175099CAMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
El-Bershawi Medical Corp CurrentSince Sep 10, 2024 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jul 1, 2023 Accepting new patients
Usc Care Medical Group, Inc Surgery CurrentSince Jul 1, 2023 Accepting new patients
Pacific Professional Surgical Group Inc Trauma Surgery Past Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

4 Hughes
Ste 100
Irvine, CA 92618
Phone (949) 679-6874

1200 N State St
Los Angeles, CA 90089
Phone (323) 226-2170

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5860

550 N Monterey Ave
Ontario, CA 91764
Phone (909) 629-2290

10841 White Oak Ave
Rch Cucamonga, CA 91730
Phone (626) 914-1514

3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211

4234 Riverwalk Pkwy
Ste 120
Riverside, CA 92505
Phone (909) 418-2700

4234 Riverwalk Pkwy
Ste 230
Riverside, CA 92505
Phone (951) 373-5819

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

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 1

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": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1265964712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PKWY STE 230",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PKWY STE 230",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053312",
            "telephone_number": "367-295-1781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 6th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112153609",
            "country_code": "US",
            "telephone_number": "718-780-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHO",
        "first_name": "EDWARD",
        "middle_name": "SUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "175099",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "CA",
            "license": "A175099",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "A175099",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.