Individual provider Active NPI

Kyung a Cho, N.P.

  • Adult Health Nurse Practitioner
  • Pasadena, CA
National Provider Identifier
1740646124
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
95003012 Issued in CA
Practice address
301 S Fair Oaks Ave
404
Pasadena, CA 91105-2561
Phone
(626) 200-4500
NPI assigned
Jan 14, 2016
Last updated
Jun 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 95003012 CA Primary

Addresses

Primary practice location

301 S Fair Oaks Ave
404
Pasadena, CA 91105-2561

Mailing address

301 S Fair Oaks Ave
404
Pasadena, CA 91105-2561
Phone (626) 200-4500

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161116000819 CA Practitioner - Nurse Practitioner 4587943527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altea Medical California PCGroup PAC ID 1850740150, 84 clinicians

Practice addresses (Care Compare)

2353 23Rd St
Eureka, CA 95501-3201
Phone (707) 445-3261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altea Medical California PC CurrentSince Apr 18, 2025 Accepting new patients
Healthcare Partners Affiliates Medical Group Current Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 23, 2023 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 23, 2023 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

2353 23rd St
Eureka, CA 95501
Phone (704) 445-3261

2321 Newburg Rd
Fortuna, CA 95540
Phone (707) 725-4457

5696 Lake Murray Blvd
La Mesa, CA 91942
Phone (619) 460-5225

517 S A St
Madera, CA 93638
Phone (559) 673-9228

2424 M St
Merced, CA 95340
Phone (209) 473-3896

2124 57th Ave
Oakland, CA 94621
Phone (510) 261-2628

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

3000 N Gate Rd
Seal Beach, CA 90740
Phone (562) 594-5790

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

2005 River St
Susanville, CA 96130
Phone (530) 257-5341

13333 Fenton Ave
Sylmar, CA 91342
Phone (818) 367-1033

Organizations & group practices 4

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": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1740646124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S FAIR OAKS AVE",
            "address_2": "404",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052561",
            "telephone_number": "626-200-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S FAIR OAKS AVE",
            "address_2": "404",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052561",
            "telephone_number": "626-200-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "KYUNG A",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95003012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.