Organization Active NPI

Joon Choi, MD. Apc

Doing business as San Raphael Family Medical Center

  • Obstetrics & Gynecology Physician
  • Panorama City, CA
National Provider Identifier
1699152058
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G80351 Issued in CA
Legal business name
JOON CHOI, MD. APC
Doing business as
San Raphael Family Medical Center
Practice address
8215 Van Nuys Blvd
Suite 104
Panorama City, CA 91402-4810
Phone
(818) 994-4010
Fax
(818) 994-4033
NPI assigned
May 5, 2015
Last updated
May 5, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
JOON CHOI, MD APCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Authorized official

Name
Dr. Joon Choi, M.D.NPI 1023073152
Title
President
Phone
(818) 242-6811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X G80351 CA Primary

Addresses

Primary practice location

8215 Van Nuys Blvd
Suite 104
Panorama City, CA 91402-4810

Mailing address

8215 Van Nuys Blvd
Suite 104
Panorama City, CA 91402-4810
Phone (818) 994-4010

Other names 1

  • SAN RAPHAEL FAMILY MEDICAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121102000258 CA Part B Supplier - Clinic/Group Practice 9830340629 Receives reassigned benefits from 3 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Panorama City, CA; Sun Valley, CA

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2091521San Raphael Family Medical Center8215 Van Nuys Blvd Ste 104, Panorama City, CA 91402Certificate of waiverFeb 12, 2027

National Provider Directory

National Provider Directory
Tax ID family
Joon Choi MD a Professional2 organizations share this tax ID, including this one
Part of
Joon Choi MD a Professional

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1699152058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 VAN NUYS BLVD",
            "address_2": "SUITE 104",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024810",
            "telephone_number": "818-994-4010",
            "fax_number": "818-994-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 VAN NUYS BLVD",
            "address_2": "SUITE 104",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914024810",
            "telephone_number": "818-994-4010",
            "fax_number": "818-994-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOON CHOI, MD. APC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOON CHOI, MD APC",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "JOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-242-6811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G80351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAN RAPHAEL FAMILY MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Panorama City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.