Active NPI
Jieun Choi
- Marriage & Family Therapist
- San Jose, CA
National Provider Identifier
1528478278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT107652
- Practice address
- 320 Crescent Village Cir
San Jose, CA 95134-3047 - Phone
- (408) 334-4802
- NPI assigned
- May 3, 2014
- Last updated
- Jan 30, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT107652 | CA | Primary |
Addresses
Primary practice location
320 Crescent Village Cir
San Jose, CA 95134-3047
Mailing address
320 Crescent Village Cir Unit 1310
San Jose, CA 95134-3052
Phone (408) 334-4802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| #95-2633765 | Other | CA | MEDI-CAL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
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 |
|---|---|---|---|
| LMFT107652 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706572800000",
"number": "1528478278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 CRESCENT VILLAGE CIR UNIT 1310",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951343052",
"telephone_number": "408-334-4802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 CRESCENT VILLAGE CIR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951343047",
"telephone_number": "408-334-4802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "JIEUN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-03",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT107652",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "#95-2633765",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "611 S Milpitas Blvd",
"city": "Milpitas",
"state": "CA",
"country_code": "US",
"postal_code": "950355473",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.