Individual provider Active NPI

Susan Choi, PA-C

  • Physician Assistant
  • Oakland, CA
National Provider Identifier
1700323888
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
60246 Issued in CA
Practice address
1144 65TH St Ste F
Oakland, CA 94608-1053
Phone
(510) 929-1400
Fax
(510) 929-1414
NPI assigned
Jan 26, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 020585 NY
Physician Assistant 363A00000X 9234 AZ
Physician Assistant 363A00000X 60246 CA Primary

Addresses

Primary practice location

1144 65TH St Ste F
Oakland, CA 94608-1053

Mailing address

PO Box 511250
Los Angeles, CA 90051-7805
Phone (510) 929-1400

Other practice location 1

19303 N New Tradition Rd
Sun City West, AZ 85375-3806
Phone (510) 929-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170315001679 NY Practitioner - Physician Assistant 8123303013 Reassigns benefits to 2 organizations
I20220405001604 CA Practitioner - Physician Assistant 8123303013 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carbon Health Medical Group of California PCGroup PAC ID 9032340047, 335 clinicians

Practice addresses (Care Compare)

1040 W Imperial Hwy
Suite D
La Habra, CA 90631-0608
Phone (714) 451-1072

13299 S St
Cerritos, CA 90703-7307
Phone (562) 865-8750

13365 W Washington Blvd
Los Angeles, CA 90066-5134
Phone (310) 504-1825

14443 Culver Dr
14443 A
Irvine, CA 92604-0343
Phone (949) 767-8173

3851 Katella Ave
Suite 100
Los Alamitos, CA 90720-3385
Phone (562) 430-4138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
020585NYMDCognitive & Behavioral Psychologist
60246CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center CurrentSince Oct 1, 2017 Accepting new patients
Mercy Medical Center CurrentSince Oct 1, 2017 Accepting new patients
Carbon Health Primary Care of California PC PastSince Jul 20, 2025 Accepting new patients
Progressive Emergency Physicians PA, PLLC Past Accepting new patients
Carbon Health Medical Group of California PC Past Accepting new patients

Locations

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

Interoperability endpoints

  • Direct secure messaging: susan.choi@299395540647940.direct.elationemr.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1700323888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511250",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900517805",
            "telephone_number": "510-929-1400",
            "fax_number": "510-929-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 65TH ST STE F",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946081053",
            "telephone_number": "510-929-1400",
            "fax_number": "510-929-1414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19303 N New Tradition Rd",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853753806",
            "country_code": "US",
            "telephone_number": "510-929-1400",
            "fax_number": "510-929-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOI",
        "first_name": "SUSAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020585",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9234",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "60246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.