Organization Active NPI

Peter Y Cho MD Inc

  • Specialist
  • Ukiah, CA
National Provider Identifier
1750581369
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G80908 Issued in CA
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G809081MedicaidCA
1619968948MedicaidCA
G80908OtherCALICENSE
A82325OtherWILICENSE

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.