Individual provider Active NPI

Justin Choe, PSY. D.

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1780716233
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
3727 W 6TH St Ste 614
Los Angeles, CA 90020-5111
Phone
(714) 293-0123
Fax
(888) 824-3727
NPI assigned
Mar 11, 2007
Last updated
Jun 4, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

3727 W 6TH St Ste 614
Los Angeles, CA 90020-5111

Mailing address

3727 W 6TH St Ste 614
Los Angeles, CA 90020-5111
Phone (714) 293-0123

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120426000249 CA Practitioner - Clinical Psychologist 4082876750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3407 W 6TH St
Suite 701
Los Angeles, CA 90020-2554
Phone 8556140614101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Psychotherapy, Inc. CurrentSince Apr 1, 2013 Accepting new patients

Locations

3407 W 6th St
Ste 701
Los Angeles, CA 90020
Phone (714) 614-3336

3727 W 6th St
Ste 614
Los Angeles, CA 90020
Phone (714) 293-0123

9620 Fremont Ave
Montclair, CA 91763
Phone (909) 227-0750

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1780716233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 W 6TH ST STE 614",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900205111",
            "telephone_number": "714-293-0123",
            "fax_number": "888-824-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 W 6TH ST STE 614",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900205111",
            "telephone_number": "714-293-0123",
            "fax_number": "888-824-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOE",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-11",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.