Active NPI
Grace Sun Ah Cho, O.D.
- Optometrist
- Cerritos, CA
National Provider Identifier
1336419456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12556T
- Practice address
- 11900 South St
Suite 121
Cerritos, CA 90703-6847 - Phone
- (562) 809-4041
- NPI assigned
- Jan 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12556T | CA | Primary |
Addresses
Primary practice location
11900 South St
Suite 121
Cerritos, CA 90703-6847
Mailing address
3491 Iron Bark Way
Yorba Linda, CA 92886-6223
Phone (714) 262-3063
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12556T | CA | MD | Optometrist |
| 12556 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325721600000",
"number": "1336419456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3491 IRON BARK WAY",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928866223",
"telephone_number": "714-262-3063",
"fax_number": "562-902-4984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11900 SOUTH ST",
"address_2": "SUITE 121",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907036847",
"telephone_number": "562-809-4041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHO",
"first_name": "GRACE",
"middle_name": "SUN AH",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-05",
"last_updated": "2012-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12556T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.