Individual provider Active NPI

Sean Seung Joo Choi, D.P.M., M.D.

  • Foot & Ankle Surgery Podiatrist
  • Victorville, CA
National Provider Identifier
1790868545
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4534 Issued in CA
Practice address
15366 11TH St Ste a
Victorville, CA 92395-3726
Phone
(760) 951-1234
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4534 CA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 07001013A IN

Addresses

Primary practice location

15366 11TH St Ste a
Victorville, CA 92395-3726

Mailing address

5146 Tahoe PL
Rancho Cucamonga, CA 91739-8950
Phone (213) 500-3227

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100608000338 CA Practitioner - Podiatry 6507928967 Reassigns benefits to 1 organization
Practice locations: Victorville, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
High Desert Foot and Ankle Clinic, aGroup PAC ID 9133401623, 5 clinicians

Practice addresses (Care Compare)

15366 11TH St
Suite a
Victorville, CA 92395-3726
Phone (760) 951-1234

15366 Eleventh St a
Victorville, CA 92395-3726

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.14 of 100Reported as group
Quality
40.28
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue81
Removal of nail tissue292
Removal or shaving of skin growth279

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E4534CAMDFoot & Ankle Surgery Podiatrist
07001013AINMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: seanchoi@chai.allscriptsdirect.net

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.

Hospital & facility affiliations 1

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1790868545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5146 TAHOE PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398950",
            "telephone_number": "213-500-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15366 11TH ST STE A",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953726",
            "telephone_number": "760-951-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "SEAN",
        "middle_name": "SEUNG JOO",
        "name_prefix": "Dr.",
        "credential": "D.P.M., M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4534",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07001013A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.