Individual provider Active NPI

Christopher Tsung Lung Ho, MD

  • Dermatology Physician
  • Los Angeles, CA
National Provider Identifier
1679507537
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G77152 Issued in CA
Practice address
420 E 3Rd St
Suite 805
Los Angeles, CA 90013-1644
Phone
(213) 687-3214
Fax
(213) 687-0622
NPI assigned
Jul 10, 2006
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G77152 CA Primary

Addresses

Primary practice location

420 E 3Rd St
Suite 805
Los Angeles, CA 90013-1644

Mailing address

420 E 3Rd St
Suite 805
Los Angeles, CA 90013-1644
Phone (213) 687-3214

Other identifiers 2

IdentifierTypeStateIssuer
00G771521MedicaidCA
00G771520OtherCAMEDICAL PPIN#

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
I20031113000811 CA Practitioner - Dermatology 8224942297 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G77152CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aristamd CurrentSince Apr 1, 2021 Accepting new patients
Confermed of California PC CurrentSince Apr 12, 2024 Accepting new patients
Irradiance Medical Group Inc CurrentSince Mar 1, 2002 Accepting new patients
Good Samaritan Hospital Ca LTD PTP Past Accepting new patients
Confermed PC Dermatology Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Pih Health Good Samaritan Hospital Past Accepting new patients
Pathway Genomics Corporation PastSince Apr 1, 2021 Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients

Locations

101 Academy
Ste 100
Irvine, CA 92617
Phone (860) 323-0172

420 E 3rd St
Ste 805
Los Angeles, CA 90013
Phone (213) 218-3915

4755 Nexus Center Dr
San Diego, CA 92121
Phone (858) 750-4777

3655 Lomita Blvd
Ste 212
Torrance, CA 90505
Phone (213) 218-3966

11 Silver St
Unit 856
Middletown, CT 06457

Interoperability endpoints

  • Direct secure messaging: cho@img.emadirect.md

Organizations & group practices 9

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1679507537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 3RD ST",
            "address_2": "SUITE 805",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131644",
            "telephone_number": "213-687-3214",
            "fax_number": "213-687-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 3RD ST",
            "address_2": "SUITE 805",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900131644",
            "telephone_number": "213-687-3214",
            "fax_number": "213-687-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "CHRISTOPHER",
        "middle_name": "TSUNG LUNG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G77152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G771521",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PPIN#",
            "identifier": "00G771520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.