Individual provider Active NPI

David Young Cho, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • San Diego, CA
National Provider Identifier
1659752038
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DDS108717 Issued in CA
Practice address
34800 Bob Wilson Dr
San Diego, CA 92134-2017
Phone
(619) 532-6867
NPI assigned
Jun 11, 2015
Last updated
Sep 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Military Hospital 286500000X NU
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DDS108717 CA Primary

Addresses

Primary practice location

34800 Bob Wilson Dr
San Diego, CA 92134-2017

Mailing address

4393 Georgia St
San Diego, CA 92103-2504
Phone (949) 400-9426

Other practice location 1

136 S Aspen St Ste A&b
Visalia, CA 93291-5175
Phone (949) 400-9426

Other practice location 2

419 Old Elkhart Rd Ste 110
Palestine, TX 75801-6047
Phone (903) 723-4669

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250617003743 CA Practitioner - Maxillofacial Surgery 5799296687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
Texas a & M University System, HSC, College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Allies Clinic IncGroup PAC ID 8527458389, 16 clinicians

Practice addresses (Care Compare)

5395 Ruffin Rd
Suite 102
San Diego, CA 92123-1338
Phone (858) 598-5291

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31291TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Allies Clinic Inc Oral and Maxillofacial Surgery CurrentSince May 1, 2025 Accepting new patients
Palestine Dental PLLC Past Accepting new patients

Locations

5395 Ruffin Rd
Ste 102
San Diego, CA 92123
Phone (858) 569-8959

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1659752038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4393 GEORGIA ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032504",
            "telephone_number": "949-400-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921342017",
            "telephone_number": "619-532-6867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 S Aspen St Ste A&b",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932915175",
            "country_code": "US",
            "telephone_number": "949-400-9426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 Old Elkhart Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Palestine",
            "state": "TX",
            "postal_code": "758016047",
            "country_code": "US",
            "telephone_number": "903-723-4669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHO",
        "first_name": "DAVID",
        "middle_name": "YOUNG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "DDS108717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.