Individual provider Active NPI

Austina Bongnai Cho, M.D.

  • Psychiatry Physician
  • Orange, CA
National Provider Identifier
1780770453
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A62871 Issued in CA
Practice address
265 S Anita Dr Ste 102-104
Orange, CA 92868-3355
Phone
(714) 410-3500
Fax
(714) 410-3527
NPI assigned
Oct 4, 2006
Last updated
Dec 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A62871 CA Primary

Addresses

Primary practice location

265 S Anita Dr Ste 102-104
Orange, CA 92868-3355

Mailing address

265 S Anita Dr Ste 102-104
Orange, CA 92868-3355
Phone (714) 410-3500

Other practice location 1

4411 E Kings Canyon Rd
Fresno, CA 93702-3604
Phone (559) 453-1008

Other names 1

  • Dr. Tina Cho Other 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
I20090320000503 CA Practitioner - PsychiatryPractitioner - Geriatric Psychiatry 5991862831 Reassigns benefits to 6 organizations
Practice locations: Buena Park, CA; Lakewood, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Louisiana State University School of Medicine in New Orleans, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance for Wellness IncGroup PAC ID 9931355617, 58 clinicians
Alidad Zadeh DO IncGroup PAC ID 6608268412, 2 clinicians

Practice addresses (Care Compare)

14850 Roscoe Blvd
Panorama City, CA 91402-4618
Phone (818) 787-2222

1600 S Imperial Ave
Suite 3
El Centro, CA 92243-4242
Phone (760) 339-2802

6281 Beach Blvd
Suite 213
Buena Park, CA 90621-4236
Phone (562) 253-2783

Merit-based Incentive Payment System (MIPS)

Final score
81.67 of 100Reported as group
Quality
74.98
Improvement activities
40
Cost
51.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A62871CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Neuropsychiatric Associates a P C Psychiatry CurrentSince Sep 27, 2022 Accepting new patients
Department of State Hospitals Current Accepting new patients
Alliance for Wellness, Inc. Psychiatry CurrentSince Feb 8, 2023 Accepting new patients
Department of State Hospitals CurrentSince Apr 23, 2022 Accepting new patients
Health Alliance Socal, Inc Psychiatry CurrentSince Jul 1, 2023 Accepting new patients
Department of State Hospitals CurrentSince Apr 23, 2022 Accepting new patients
Exodus Recovery, Inc. CurrentSince Dec 31, 2023 Accepting new patients
Ocean Pearl Healing, Inc. Psychiatry CurrentSince Oct 16, 2025 Accepting new patients
Alidad Zadeh DO, Inc. CurrentSince Nov 18, 2023 Accepting new patients
VP Anesthesia Partners, Inc PastSince Jan 29, 2023 Accepting new patients
Tamika Henry MD Inc PastSince Jan 7, 2025 Accepting new patients

Locations

6281 Beach Blvd
Ste 213
Buena Park, CA 90621
Phone (562) 253-2783

1600 S Imperial Ave
Ste 3
El Centro, CA 92243
Phone (760) 335-3545

1600 S Imperial Ave
Ste 5
El Centro, CA 92243
Phone (442) 283-5860

16260 Ventura Blvd
Ste 630
Encino, CA 91436
Phone (747) 264-9201

2355 23rd St
Eureka, CA 95501
Phone (747) 998-0387

501 E Hardy St
Ste 425
Inglewood, CA 90301
Phone (310) 419-4303

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

9250 Reseda Blvd
Ste 658
Northridge, CA 91324

11401 Bloomfield Ave
Norwalk, CA 90650
Phone (562) 863-7011

1010 W Chapman Ave
Orange, CA 92868
Phone (714) 633-4300

265 S Anita Dr
Ste 102104
Orange, CA 92868
Phone (714) 410-3500

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

14850 Roscoe Blvd
Van Nuys, CA 91402
Phone (818) 787-2222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: acho810670@direct.memorialcare.org

Organizations & group practices 11

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1780770453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 S ANITA DR STE 102-104",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683355",
            "telephone_number": "714-410-3500",
            "fax_number": "714-410-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 S ANITA DR STE 102-104",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683355",
            "telephone_number": "714-410-3500",
            "fax_number": "714-410-3527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4411 E Kings Canyon Rd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937023604",
            "country_code": "US",
            "telephone_number": "559-453-1008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHO",
        "first_name": "AUSTINA",
        "middle_name": "BONGNAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A62871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "CHO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.