Choctaw Medical Group, Inc.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G029056 Issued in CA

Legal business name

CHOCTAW MEDICAL GROUP, INC.

Practice address

315 N 3Rd Ave Ste 200
Covina, CA 91723-1915

Phone

(626) 938-1165

Fax

(626) 938-1172

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. William Thomas Choctaw, M.D.

Title

President

Phone

(626) 938-1165

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336161397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N 3RD AVE STE 200",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231915",
            "telephone_number": "626-938-1165",
            "fax_number": "626-938-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N 3RD AVE STE 200",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231915",
            "telephone_number": "626-938-1165",
            "fax_number": "626-938-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOCTAW MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHOCTAW",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-938-1165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G029056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G290560",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Nmi Ching, MD
• Anabenne Chiong
• Lezzlie Anne Angbengco Chiu
• Elizabeth Jayun Cho, OTR/L
• Jenny Cho
• Choice a Home Health Services
• John Thomas Chon Sr., D.O.
• Jenniefer Chong
• Julie I Chong, PHARM D
• Orapin Chong, RDH

• Surgery Physician in Covina, CA
• Providers in Covina, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.