Active NPI
Diana Choi
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Gardena, CA
National Provider Identifier
1649671363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RPH 69294
- Practice address
- 15435 S Western Ave
Ste 100-C
Gardena, CA 90249-4323 - Phone
- (310) 353-2699
- Fax
- (310) 353-2696
- NPI assigned
- Sep 12, 2014
- Last updated
- Apr 18, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH 69294 | CA | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH 69294 | CA | Primary |
Addresses
Primary practice location
15435 S Western Ave
Ste 100-C
Gardena, CA 90249-4323
Mailing address
15435 S Western Ave
Ste 100-C
Gardena, CA 90249-4323
Phone (310) 353-2699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH 69294 | Other | CA | PHARMACIST LICENSE |
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 |
|---|---|---|---|
| RPH 69294 | CA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Pharmaceuticals Inc | Current | Accepting new patients | |
| Econo Pharmacy Inc | Past | Accepting new patients |
Locations
15435 S Western Ave
Ste 100C
Gardena, CA 90249
Phone (310) 353-2695
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.
-
dba Econo Pharmacy
- Community/Retail Pharmacy
- Gardena, CA
- NPI 1639180227
-
- Community/Retail Pharmacy
- Gardena, CA
- NPI 1912610106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460937600000",
"number": "1649671363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15435 S WESTERN AVE",
"address_2": "STE 100-C",
"city": "GARDENA",
"state": "CA",
"postal_code": "902494323",
"telephone_number": "310-353-2699",
"fax_number": "310-353-2696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15435 S WESTERN AVE",
"address_2": "STE 100-C",
"city": "GARDENA",
"state": "CA",
"postal_code": "902494323",
"telephone_number": "310-353-2699",
"fax_number": "310-353-2696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "DIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-12",
"last_updated": "2016-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH 69294",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "CA",
"license": "RPH 69294",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "RPH 69294",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.