Premierone Plus Aco

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

PREMIERONE PLUS ACO

Practice address

1210 N Jefferson St Ste D
Anaheim, CA 92807-1630

Phone

(714) 495-4392

NPI assigned

Feb 1, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Jay Choi

Title

Ceo

Phone

(213) 434-0999

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1356806525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 N JEFFERSON ST STE D",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928071630",
            "telephone_number": "714-495-4392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 N JEFFERSON ST STE D",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928071630",
            "telephone_number": "714-495-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIERONE PLUS ACO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-434-0999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.