Kyung a Cho, N.P.
Individual provider Active NPI Adult Health Nurse Practitioner · Pasadena, CA
NPI 1740646124 · NPPES record last updated Jun 24, 2016
Key facts
- NPI
- 1740646124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 95003012 (CA)
- Practice address
- 301 S Fair Oaks Ave
404
Pasadena, CA 91105-2561 - Phone
- (626) 200-4500
- NPI assigned
- Jan 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Altea Medical California PC
Practice addresses (Care Compare)
2353 23Rd St
Eureka, CA 95501-3201
Phone (707) 445-3261
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161116000819 | CA | Practitioner - Nurse Practitioner | 4587943527 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Partners Affiliates Medical Group | Current | Accepting new patients | |
| Altea Medical California PC | Current |
Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current |
Accepting new patients | |
| Healthcare Partners Affiliates Medical Group | Current |
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) 723-2442
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 95003012 | CA | Yes |
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
Other providers in Pasadena, CA
- Helen Cho
- Jaehun Cho
- Joseph Cho
- Kangyeon Cho
- Ki Haeng Cho
- Mary Shinyoung Cho
- Pierce Cho
- Sau Sum Janet Cho
- Won Joon Cho
- Sun Choe
All providers in Pasadena, CA · Adult Health Nurse Practitioner in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.