Individual provider Active NPI

Frederick Choi

  • Chiropractor
  • San Jose, CA
National Provider Identifier
1285404350
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC36626 Issued in CA
Practice address
1411 Berryessa Rd Unit 40
San Jose, CA 95133-1014
Phone
(669) 263-6971
NPI assigned
Jan 8, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC36626 CA Primary

Addresses

Primary practice location

1411 Berryessa Rd Unit 40
San Jose, CA 95133-1014

Mailing address

1411 Berryessa Rd Unit 40
San Jose, CA 95133-1014
Phone (669) 263-6971

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
36626CAMDClinical Psychologist
DC36626CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
100 Chiro Livingood Hora PC Inc Apc Chiropractor CurrentSince Mar 1, 2024 Accepting new patients

Locations

1411 Berryessa Rd
Ste 40
San Jose, CA 95133
Phone (669) 263-6971

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": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1285404350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 BERRYESSA RD UNIT 40",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951331014",
            "telephone_number": "669-263-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 BERRYESSA RD UNIT 40",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951331014",
            "telephone_number": "669-263-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "FREDERICK",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.