Cedric Choan MD Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A050684 Issued in CA

Legal business name

CEDRIC CHOAN MD INC

Practice address

180 Newport Center Dr Ste 157
Newport Beach, CA 92660-0934

Phone

(949) 719-1800

Fax

(714) 647-1245

NPI assigned

Sep 7, 2007

Organization subpart

No

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

Authorized official

Name

Cedric Choan, MDNPI 1588769194

Title

President

Phone

(562) 407-2080

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cedric Choan, MD

  • Anesthesiology Physician
  • Newport Beach, CA
  • NPI 1588769194
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1750576229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14120 ALONDRA BLVD STE C",
            "city": "SANTA FE SPRINGS",
            "state": "CA",
            "postal_code": "906705842",
            "telephone_number": "562-407-2080",
            "fax_number": "562-407-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 NEWPORT CENTER DR STE 157",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600934",
            "telephone_number": "949-719-1800",
            "fax_number": "714-647-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDRIC CHOAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "CHOAN",
        "authorized_official_first_name": "CEDRIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-407-2080",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A050684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.