Individual provider Active NPI

Songhoo Kent Choi, D.C.

  • Chiropractor
  • Cerritos, CA
National Provider Identifier
1457437410
Registry record updated Oct 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC27404 Issued in CA
Practice address
11911 Artesia Blvd Ste 102
Cerritos, CA 90701-4065
Phone
(562) 809-3112
Fax
(562) 809-3139
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC27404 CA Primary

Addresses

Primary practice location

11911 Artesia Blvd Ste 102
Cerritos, CA 90701-4065

Mailing address

11 Allbrook CT
Ladera Ranch, CA 92694-0245
Phone (714) 606-5330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100303000326 CA Practitioner - Chiropractic 7810032794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11911 Artesia Blvd
Suite 102
Cerritos, CA 90701-4060
Phone (562) 809-3112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27404CAMDClinical Social Worker
DC27404CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. S. Kent Choi, Inc. Chiropractor CurrentSince Oct 4, 2009 Accepting new patients

Locations

11911 Artesia Blvd
Ste 102
Cerritos, CA 90701
Phone (562) 650-7760

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1457437410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ALLBROOK CT",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926940245",
            "telephone_number": "714-606-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11911 ARTESIA BLVD STE 102",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907014065",
            "telephone_number": "562-809-3112",
            "fax_number": "562-809-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "SONGHOO",
        "middle_name": "KENT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC27404",
            "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 Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.