Individual provider Active NPI

Maximilian Yue Cho, M.D.

  • Diagnostic Radiology Physician
  • San Gabriel, CA
National Provider Identifier
1790049773
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
CDR.0004708 Issued in CO
Practice address
110 W Las Tunas Dr Ste a
San Gabriel, CA 91776-1346
Phone
(626) 244-8200
NPI assigned
Jun 25, 2012
Last updated
Dec 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X A123924 CA
Diagnostic Radiology Physician 2085R0202X CDR.0004708 CO Primary

Addresses

Primary practice location

110 W Las Tunas Dr Ste a
San Gabriel, CA 91776-1346

Mailing address

PO Box 223897
Pittsburgh, PA 15251-2897
Phone (844) 947-4260

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
I20170823003672 CA Practitioner - Diagnostic Radiology 6305139072 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Menalam Health Services PCGroup PAC ID 7012319163, 89 clinicians
Focus Medical ImagingGroup PAC ID 6406999259, 95 clinicians

Practice addresses (Care Compare)

1115 S Sunset Ave
West Covina, CA 91790-3940
Phone (877) 406-2916

1300 N Vermont Ave
Los Angeles, CA 90027-6005
Phone (877) 406-2916

14850 Roscoe Blvd
Panorama City, CA 91402-4618
Phone (877) 406-2916

16237 Ventura Blvd
Encino, CA 91436-2201
Phone (877) 406-2916

18321 Clark St
Tarzana, CA 91356-3501
Phone (877) 406-2916

2000 Stadium Way
Los Angeles, CA 90026-2606
Phone (877) 406-2916

210 W San Bernardino Rd
Covina, CA 91723-1515
Phone (877) 406-2916

250 S Grand Ave
Glendora, CA 91741-4218
Phone (877) 406-2916

2975 Sycamore Dr
Simi Valley, CA 93065-1201
Phone (805) 955-6000

425 1St St
Unit 2901
San Francisco, CA 94105-4629
Phone (717) 932-5200

4929 Van Nuys Blvd
Van Nuys, CA 91403-1702
Phone (877) 406-2916

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.93 of 100Reported as group
Quality
90.59
Improvement activities
40
Cost
57.01

Merit-based Incentive Payment System (MIPS)

Final score
98.21 of 100Reported as group
Quality
92.22
Improvement activities
40
Cost
74.96

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
65.84
Promoting interoperability
100
Improvement activities
40
Cost
77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
123924CAMDSocial Worker
A123924CAMDNeuroradiology Physician
CDR.0004708COMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Menalam Health Services PC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Centrelake Medical Group, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Menalam Health Services PC CurrentSince Jan 1, 2026 Accepting new patients
Mountain Communities Healthcare District CurrentSince Sep 1, 2023 Accepting new patients
United Medical Doctors CurrentSince Oct 1, 2019 Accepting new patients
Shin Imaging LLC CurrentSince Nov 1, 2024 Accepting new patients
Colorado Imaging Associates P C Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Centrelake Medical Group Inc Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Shin MRI LLC CurrentSince Jan 1, 2026 Accepting new patients
North Oc Imaging JV, LLC CurrentSince Oct 1, 2024 Accepting new patients
Mountain Communities Healthcare District CurrentSince Sep 1, 2023 Accepting new patients
Focus Medical Imaging Diagnostic Radiology CurrentSince Jul 9, 2017 Accepting new patients
Shin Imaging LLC CurrentSince Jan 1, 2025 Accepting new patients
Quantum Imaging & Therapeutic Associates Inc Neuroradiology CurrentSince Mar 1, 2024 Accepting new patients
Centrelake Medical Group, Inc. Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
Centrelake Medical Group, Inc. Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Centrelake Medical Group, Inc. Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Mountain Communities Healthcare District Current Accepting new patients
Centrelake Medical Group Inc Diagnostic Radiology CurrentSince Dec 1, 2022 Accepting new patients
Centrelake Medical Group Inc CurrentSince Nov 1, 2022 Accepting new patients
United Medical Doctors CurrentSince Oct 1, 2019 Accepting new patients
Centrelake Medical Group Inc CurrentSince Dec 29, 2022 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Breast Center of Irvine Inc CurrentSince Aug 17, 2020 Accepting new patients
Centrelake Medical Group Inc CurrentSince Jan 1, 2023 Accepting new patients
Centrelake Medical Group Inc Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
North Oc Imaging JV, LLC CurrentSince Oct 1, 2024 Accepting new patients
Centrelake Medical Group Inc Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Focus Medical Imaging Diagnostic Radiology Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients
Alhambra Hospital Medical Center, LP Past Accepting new patients
Ahmc Greater El Monte Comm Hosp LLC Past Accepting new patients

Locations

15855 Pomona Rincon Rd
Ste 101
Chino Hills, CA 91709

2083 Compton Ave
Ste 104
Corona, CA 92881
Phone (951) 256-8191

521 E Elder St
Ste 104
Fallbrook, CA 92028
Phone (760) 728-9560

13400 Jamboree Rd
Irvine, CA 92602
Phone (714) 263-9279

267 S San Pedro St
Unit 261
Los Angeles, CA 90012
Phone (310) 600-3430

4640 Admiralty Way
Ste 102
Marina del Rey, CA 90292
Phone (310) 836-1574

309 W Beverly Blvd
Montebello, CA 90640
Phone (323) 725-4209

400 Newport Center Dr
Ste 609
Newport Beach, CA 92660
Phone (949) 760-0398

9041 Magnolia Ave
Ste 101
Riverside, CA 92503
Phone (951) 687-5755

2975 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 522-2500

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

629D Lowther Rd
Lewisberry, PA 17339
Phone (717) 938-2765

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9170/brand/1/csg/1/fhir/r4

Organizations & group practices 32

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.

View all 32

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1340582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1790049773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 223897",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152512897",
            "telephone_number": "844-947-4260",
            "fax_number": "302-261-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W LAS TUNAS DR STE A",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917761346",
            "telephone_number": "626-244-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "MAXIMILIAN",
        "middle_name": "YUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-25",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "A123924",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "CDR.0004708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

Verify at the official NPI Registry.