Individual provider Active NPI

CHI Man Ho

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Ana, CA
National Provider Identifier
1538610563
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP95010863 Issued in CA
Practice address
520 N Main St Ste 220
Santa Ana, CA 92701-4623
Phone
(626) 234-0877
Fax
(909) 757-7797
NPI assigned
Oct 14, 2016
Last updated
Apr 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP95010863 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP95010863 CA Primary

Addresses

Primary practice location

520 N Main St Ste 220
Santa Ana, CA 92701-4623

Mailing address

1623 Hallgreen Dr
Walnut, CA 91789-3427

Other practice location 1

1623 Hallgreen Dr
Walnut, CA 91789-3427
Phone (626) 234-0877

Other practice location 2

490 W 14th St
Long Beach, CA 90813-2943
Phone (562) 591-8701

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
I20211029002274 CA Practitioner - Nurse Practitioner 9032507751 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Holistic Nursing Medical IncGroup PAC ID 5597148650, 2 clinicians
Access Community Health CenterGroup PAC ID 7810394756, 29 clinicians

Practice addresses (Care Compare)

10737 Laurel St
Suite 102
Rancho Cucamonga, CA 91730-3837
Phone (626) 234-0877

3281 E Guasti Rd
FL 7
Ontario, CA 91761-7622
Phone (626) 234-0877

520 N Main St
Suite 120
Santa Ana, CA 92701-4623
Phone (714) 352-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP95010863CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Center CurrentSince Oct 22, 2023 Accepting new patients
Holistic Nursing Medical Inc Psychiatric/Mental Health CurrentSince Jul 30, 2019 Accepting new patients
New Foundation Medical Inc. CurrentSince Oct 1, 2021 Accepting new patients
Access Community Health Center Past Accepting new patients

Locations

1370 Valley Vista Dr
Ste 200
Diamond Bar, CA 91765
Phone (310) 981-8227

24953 Paseo de Valencia
Ste 7C
Laguna Hills, CA 92653
Phone (714) 352-5800

3281 E Guasti Rd
Fl 7
Ontario, CA 91761
Phone (626) 234-0877

10737 Laurel St
Ste 102
Rancho Cucamonga, CA 91730
Phone (909) 476-0969

11801 Pierce St
Ste 200
Riverside, CA 92505
Phone (323) 547-2662

6960 Magnolia Ave
Ste 203
Riverside, CA 92506
Phone (714) 352-5800

520 N Main St
Ste 120
Santa Ana, CA 92701
Phone (714) 352-5800

520 N Main St
Ste 200
Santa Ana, CA 92701
Phone (714) 527-0887

520 N Main St
Ste 220
Santa Ana, CA 92701
Phone (714) 352-5800

14642 Newport Ave
Tustin, CA 92780
Phone (714) 669-4000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1538610563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 HALLGREEN DR",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917893427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N MAIN ST STE 220",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014623",
            "telephone_number": "626-234-0877",
            "fax_number": "909-757-7797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1623 Hallgreen Dr",
            "address_purpose": "LOCATION",
            "city": "Walnut",
            "state": "CA",
            "postal_code": "917893427",
            "country_code": "US",
            "telephone_number": "626-234-0877",
            "fax_number": "909-757-7797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "490 W 14th St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908132943",
            "country_code": "US",
            "telephone_number": "562-591-8701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HO",
        "first_name": "CHI MAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-14",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95010863",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95010863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.