Organization Active NPI

John S. Cho, M.D., Inc.

  • Pain Medicine (Anesthesiology) Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1477696474
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A67584 Issued in CA
Legal business name
JOHN S. CHO, M.D., INC.
Practice address
9674 Archibald Ave Ste 175
Rancho Cucamonga, CA 91730-7967
Phone
(909) 989-3155
Fax
(909) 989-3195
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Dr. John S. Cho, M.D.NPI 1053387423
Title
President
Phone
(909) 989-3155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X A67584 CA Primary

Addresses

Primary practice location

9674 Archibald Ave Ste 175
Rancho Cucamonga, CA 91730-7967

Mailing address

9674 Archibald Ave Ste 175
Rancho Cucamonga, CA 91730-7967
Phone (909) 989-3155

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ27517ZOtherCAMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200911000774 CA Part B Supplier - Clinic/Group Practice 7012800741 Receives reassigned benefits from 1 practitioner
Practice locations: Upland, CA

National Provider Directory

National Provider Directory

Locations

9674 Archibald Ave
Ste 175
Rancho Cucamonga, CA 91730
Phone (909) 989-3155

9681 Business Center Dr
Rch Cucamonga, CA 91730
Phone (909) 475-0475

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1477696474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9674 ARCHIBALD AVE STE 175",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307967",
            "telephone_number": "909-989-3155",
            "fax_number": "909-989-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9674 ARCHIBALD AVE STE 175",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307967",
            "telephone_number": "909-989-3155",
            "fax_number": "909-989-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN S. CHO, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-989-3155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A67584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "ZZZ27517Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.