Organization Active NPI

John H Choie MD PC

  • Specialist
  • Chino, CA
National Provider Identifier
1326177874
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A36504 Issued in CA
Legal business name
JOHN H CHOIE MD PC
Practice address
5385 Walnut Ave Ste 6
Chino, CA 91710-2605
Phone
(909) 591-0311
Fax
(909) 591-7032
NPI assigned
Mar 2, 2007
Last updated
Nov 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Dr. John H. Choie, M.D.NPI 1497768683
Title
President
Phone
(909) 591-0311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A36504 CA Primary

Addresses

Primary practice location

5385 Walnut Ave Ste 6
Chino, CA 91710-2605

Mailing address

5385 Walnut Ave Ste 6
Chino, CA 91710-2605
Phone (909) 591-0311

Other identifiers 1

IdentifierTypeStateIssuer
00A365040MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081120000007 CA Part B Supplier - Clinic/Group Practice 6800956947 Receives reassigned benefits from 1 practitioner
Practice locations: Chino, CA

National Provider Directory

National Provider Directory

Locations

5385 Walnut Ave
Ste 6
Chino, CA 91710
Phone (909) 591-0311

1030 E Foothill Blvd
Ste 102
Upland, CA 91786
Phone (909) 920-5765

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1326177874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5385 WALNUT AVE STE 6",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102605",
            "telephone_number": "909-591-0311",
            "fax_number": "909-591-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5385 WALNUT AVE STE 6",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102605",
            "telephone_number": "909-591-0311",
            "fax_number": "909-591-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN H CHOIE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "CHOIE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-591-0311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A36504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A365040",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.