Active NPI
Peter Y Cho MD Inc
- Specialist
- Ukiah, CA
National Provider Identifier
1750581369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G80908
- Legal business name
- PETER Y CHO MD INC
- Practice address
- 115 Hospital Dr
Ukiah, CA 95482-4591 - Phone
- (707) 463-1900
- Fax
- (707) 780-6375
- NPI assigned
- Jul 21, 2007
- Last updated
- May 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter Y Cho, MD
- Title
- Owner/Physician
- Phone
- (707) 463-1900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G80908 | CA | Primary |
Addresses
Primary practice location
115 Hospital Dr
Ukiah, CA 95482-4591
Mailing address
115 Hospital Dr
Ukiah, CA 95482-4591
Phone (707) 463-1900
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G809081 | Medicaid | CA | |
| 1619968948 | Medicaid | CA | |
| G80908 | Other | CA | LICENSE |
| A82325 | Other | WI | LICENSE |
National Provider Directory
National Provider DirectoryLocations
115 Hospital Dr
Ukiah, CA 95482
Phone (707) 463-1900
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Physician
- Sacramento, CA
- NPI 1255441689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210032000000",
"number": "1750581369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 HOSPITAL DR",
"city": "UKIAH",
"state": "CA",
"postal_code": "954824591",
"telephone_number": "707-463-1900",
"fax_number": "707-780-6375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 HOSPITAL DR",
"city": "UKIAH",
"state": "CA",
"postal_code": "954824591",
"telephone_number": "707-463-1900",
"fax_number": "707-780-6375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PETER Y CHO MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-21",
"last_updated": "2008-05-06",
"status": "A",
"authorized_official_last_name": "CHO",
"authorized_official_first_name": "PETER",
"authorized_official_middle_name": "Y",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "707-463-1900",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G80908",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G809081",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1619968948",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "G80908",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "A82325",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.