Active NPI
Jiwon Choi, MA, C.C.C.
- Speech-Language Pathologist
- Fullerton, CA
National Provider Identifier
1306043005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11150
- Practice address
- 2666 Associated Rd
Apt B49
Fullerton, CA 92835-3275 - Phone
- (714) 674-4977
- NPI assigned
- Jun 27, 2007
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 11150 | CA | Primary |
Addresses
Primary practice location
2666 Associated Rd
Apt B49
Fullerton, CA 92835-3275
Mailing address
2666 Associated Rd
Apt B49
Fullerton, CA 92835-3275
Phone (714) 674-4977
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11150 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306043005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2666 ASSOCIATED RD",
"address_2": "APT B49",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353275",
"telephone_number": "714-674-4977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2666 ASSOCIATED RD",
"address_2": "APT B49",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928353275",
"telephone_number": "714-674-4977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "JIWON",
"name_prefix": "Miss",
"credential": "MA, C.C.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "11150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.