Active NPI
Adrian Yongtae Cho
- Dentist
- Coalinga, CA
National Provider Identifier
1427473719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 50582
- Practice address
- 198 E Elm Ave Ste 103
Coalinga, CA 93210-2837 - Phone
- (213) 393-6225
- NPI assigned
- Feb 24, 2014
- Last updated
- Jan 31, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 50582 | CA | Primary |
Addresses
Primary practice location
198 E Elm Ave Ste 103
Coalinga, CA 93210-2837
Mailing address
198 E Elm Ave Ste 103
Coalinga, CA 93210-2837
Phone (559) 935-2368
Other names 1
- Yong Tae Cho
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50582 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580428800000",
"number": "1427473719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 E ELM AVE STE 103",
"city": "COALINGA",
"state": "CA",
"postal_code": "932102837",
"telephone_number": "559-935-2368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 E ELM AVE STE 103",
"city": "COALINGA",
"state": "CA",
"postal_code": "932102837",
"telephone_number": "213-393-6225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHO",
"first_name": "ADRIAN",
"middle_name": "YONGTAE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-24",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "50582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YONG TAE",
"last_name": "CHO",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Coalinga, CA
- Veronica Cancio
- Richard Scot Carley, PH.D.
- Angelica Carmona
- Jose Ernesto Castolo, N.P.
- Tat Cheung, PH.D.
- Carrie L Christensen, LCSW
- City of Coalinga
- Cambria Kinsleigh Clark, M.ED, PPS CREDENTIAL
- Coalinga Healthcare Inc
- Coalinga Medical Center, LLC (Coalinga Regional Medical Center Skilled Nursing Facility)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.