Individual provider Active NPI

Jae Hyung Cho, M.D.

  • Cardiovascular Disease Physician
  • Los Angeles, CA
National Provider Identifier
1407165434
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A125758 Issued in CA
Practice address
2727 W Olympic Blvd Ste 208
Los Angeles, CA 90006-2640
Phone
(213) 908-6434
Fax
(213) 908-5986
NPI assigned
Sep 24, 2010
Last updated
Aug 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A125758 CA
Cardiovascular Disease Physician 207RC0000X A125758 CA Primary
Hospitalist Physician 208M00000X A125758 CA

Addresses

Primary practice location

2727 W Olympic Blvd Ste 208
Los Angeles, CA 90006-2640

Mailing address

2727 W Olympic Blvd Ste 208
Los Angeles, CA 90006-2640
Phone (213) 908-6434

Other practice location 1

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-2726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160411001449 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6901030691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kdoc IncGroup PAC ID 6002276045, 2 clinicians

Practice addresses (Care Compare)

2727 W Olympic Blvd
Suite 208
Los Angeles, CA 90006-2640
Phone (213) 908-6434

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A125758CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kdoc Inc Cardiovascular Disease CurrentSince Apr 13, 2018 Accepting new patients
Medina Hospital Past Accepting new patients

Locations

2727 W Olympic Blvd
Los Angeles, CA 90006

2727 W Olympic Blvd
Ste 208
Los Angeles, CA 90006
Phone (213) 427-7600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1407165434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W OLYMPIC BLVD STE 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062640",
            "telephone_number": "213-908-6434",
            "fax_number": "213-908-5986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W OLYMPIC BLVD STE 208",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062640",
            "telephone_number": "213-908-6434",
            "fax_number": "213-908-5986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8700 Beverly Blvd",
            "address_purpose": "LOCATION",
            "city": "West Hollywood",
            "state": "CA",
            "postal_code": "900481804",
            "country_code": "US",
            "telephone_number": "310-423-2726",
            "fax_number": "310-423-6795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHO",
        "first_name": "JAE HYUNG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-24",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A125758",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A125758",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A125758",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.