Individual provider Active NPI

Minnah Cho, MSN, FNP-C

  • Nurse Practitioner
  • Fullerton, CA
National Provider Identifier
1790277515
Registry record updated Apr 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95031406 Issued in CA
Practice address
100 N State College Blvd Ste H
Fullerton, CA 92831-4236
Phone
(714) 824-6565
NPI assigned
Jun 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95031406 CA Primary

Addresses

Primary practice location

100 N State College Blvd Ste H
Fullerton, CA 92831-4236

Mailing address

10565 Civic Center Dr Ste 250
Rancho Cucamonga, CA 91730-3854

Other practice location 1

11100 Warner Ave Ste 310
Fountain Valley, CA 92708-4009
Phone (714) 824-6560

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250701004193 CA Practitioner - Nurse Practitioner 5991218083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Surgeons of Orange a Medical GroupGroup PAC ID 6901705227, 116 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 634-5549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95031406CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Algos Inc., a Medical Corporation Current Accepting new patients
University Surgeons of Orange a Medical Group CurrentSince Feb 2, 2026 Accepting new patients
Algos Inc., a Medical Corporation CurrentSince May 1, 2025 Accepting new patients
Algos Inc., a Medical Corporation CurrentSince May 1, 2025 Accepting new patients
Algos Inc., a Medical Corporation Past Accepting new patients

Locations

11100 Warner Ave
Ste 310
Fountain Vly, CA 92708
Phone (714) 824-6560

100 N State College Blvd
Ste H
Fullerton, CA 92831
Phone (714) 824-6565

19210 Jamboree Rd
Irvine, CA 92612
Phone (657) 579-7000

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200

10565 Civic Center Dr
Ste 250
Rancho Cucamonga, CA 91730
Phone (909) 493-3800

1125 E 17th St
Ste N452
Santa Ana, CA 92701
Phone (714) 597-7214

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745625600000",
    "number": "1790277515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10565 CIVIC CENTER DR STE 250",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N STATE COLLEGE BLVD STE H",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928314236",
            "telephone_number": "714-824-6565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11100 Warner Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927084009",
            "country_code": "US",
            "telephone_number": "714-824-6560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHO",
        "first_name": "MINNAH",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95031406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.