Individual provider Active NPI

Oen Ha Cho, F.N.P

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1508038084
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F1107161 Issued in CA
Practice address
10440 Black Mountain Rd, K-2 Building
San Diego Miramar College Student Health Center
San Diego, CA 92126
Phone
(619) 388-7881
NPI assigned
Mar 25, 2008
Last updated
Jun 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 17533 CA
Family Nurse Practitioner 363LF0000X F1107161 CA Primary
Registered Nurse 163W00000X 614946 CA

Addresses

Primary practice location

10440 Black Mountain Rd, K-2 Building
San Diego Miramar College Student Health Center
San Diego, CA 92126

Mailing address

10440 Black Mountain Rd, K-2 Building
San Diego Miramar College Student Health Center
San Diego, CA 92126
Phone (619) 388-7881

Other names 1

  • Oenha Pak Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251028004652 CA Practitioner - Nurse Practitioner 3678062882 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ming-Wei Wu IncGroup PAC ID 4284726159, 38 clinicians

Practice addresses (Care Compare)

135 S State College Blvd
Suite 200
Brea, CA 92821-5805
Phone 88843488806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
614946CAMDRegistered Nurse
17533CAMDAcupuncturist
F1107161CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Wound Specialists PC CurrentSince Sep 30, 2025 Accepting new patients
Ming-Wei Wu, Inc CurrentSince Sep 30, 2025 Accepting new patients

Locations

135 S State College Blvd
Ste 200
Brea, CA 92821
Phone (626) 283-5852

3191 W Temple Ave
Ste 110
Pomona, CA 91768

3750 S Jones Blvd
Ste 120
Las Vegas, NV 89103
Phone (702) 291-8828

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.

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1508038084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10440 BLACK MOUNTAIN RD, K-2 BUILDING",
            "address_2": "SAN DIEGO MIRAMAR COLLEGE STUDENT HEALTH CENTER",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92126",
            "telephone_number": "619-388-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10440 BLACK MOUNTAIN RD, K-2 BUILDING",
            "address_2": "SAN DIEGO MIRAMAR COLLEGE STUDENT HEALTH CENTER",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92126",
            "telephone_number": "619-388-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "OEN",
        "middle_name": "HA",
        "credential": "F.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-25",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "17533",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F1107161",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "614946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OENHA",
            "last_name": "PAK",
            "credential": "F.N.P",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.