Individual provider Active NPI

Mona Queena Cho Elsea, M.D., M.P.H.

  • Family Medicine Physician
  • Santa Monica, CA
National Provider Identifier
1770740441
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A102272 Issued in CA
Practice address
1304 15TH St
Suite 202
Santa Monica, CA 90404-1809
Phone
(310) 393-0739
NPI assigned
May 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A102272 CA
Public Health & General Preventive Medicine Physician 2083P0901X 244787 NY
Family Medicine Physician 207Q00000X A102272 CA Primary

Addresses

Primary practice location

1304 15TH St
Suite 202
Santa Monica, CA 90404-1809

Mailing address

1304 15TH St
Suite 202
Santa Monica, CA 90404-1809
Phone (310) 393-0739

Other names 1

  • Dr. Mona Queena Cho Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120921000325 CA Practitioner - Family PracticePractitioner - Emergency Medicine 8527216282 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
New York Medical College, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
244787NYMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California Family Medicine CurrentSince Sep 14, 2020 Accepting new patients
Valley Presbyterian Emergency Medical Associates Emergency Medicine CurrentSince Sep 15, 2012 Accepting new patients
The Regents of the University of California CurrentSince Sep 14, 2020 Accepting new patients
The Regents of the University of California Past Accepting new patients
UCLA Medical Group Emergency Medicine Past Accepting new patients

Locations

24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252

File 55737
Los Angeles, CA 90074

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

1260 15th St
Ste 1501
Santa Monica, CA 90404
Phone (310) 656-1700

2701 Ocean Park Blvd
Ste 130
Santa Monica, CA 90405
Phone (310) 450-1200

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

15107 Vanowen St
Van Nuys, CA 91405
Phone (818) 782-6600

Interoperability endpoints

  • Direct secure messaging: mcho23160@direct.uclahealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1770740441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 15TH ST",
            "address_2": "SUITE 202",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041809",
            "telephone_number": "310-393-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 15TH ST",
            "address_2": "SUITE 202",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041809",
            "telephone_number": "310-393-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSEA",
        "first_name": "MONA",
        "middle_name": "QUEENA CHO",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A102272",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NY",
            "license": "244787",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A102272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONA",
            "last_name": "CHO",
            "middle_name": "QUEENA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.