Individual provider Active NPI

Soon A Choi, MD

  • Internal Medicine Physician
  • Fenton, MI
National Provider Identifier
1821088162
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
145562 Issued in CA
Practice address
2420 Owen Rd
Fenton, MI 48430-3417
Phone
(810) 342-1000
Fax
(810) 342-1590
NPI assigned
Oct 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 145562 CA Primary

Addresses

Primary practice location

2420 Owen Rd
Fenton, MI 48430-3417

Mailing address

3663 W 6TH St
Ste 106
Los Angeles, CA 90020-3047
Phone (213) 388-1111

Other identifiers 14

IdentifierTypeStateIssuer
C1676OtherMIMCARE
1102525771OtherMIBLUE CROSS BLUE SHIELD
110B510530OtherMIBLUE CARE NETWORK
3302883MedicaidMI
E49693OtherMAHEALTH NET FEDERAL
110B510530OtherMIBLUE CROSS POINT OF SERVI
110B510530OtherMICOMMUNITY BLUE
204371OtherMIMCLAREN HEALTH PLAN
4464705OtherMIAETNA
8388337001OtherMICIGNA
110134957OtherMIMETRAHEALTH
110B510530OtherMIBLUE CROSS BLUE SHIELD
204371OtherMIHEALTH ADVANTAGE NETWORK
E49693OtherMIHEALTH ALLIANCE PLAN

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
I20161219000263 CA Practitioner - Internal Medicine 6002958873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sang H Baik MD IncGroup PAC ID 8628178225, 2 clinicians

Practice addresses (Care Compare)

266 S Harvard Blvd
Suite 110
Los Angeles, CA 90004-4374
Phone (213) 388-1111

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sang H Baik M.D., Inc Internal Medicine CurrentSince Nov 5, 2016 Accepting new patients
McLaren Medical Group Internal Medicine Current Accepting new patients
McLaren Flint Past Accepting new patients

Locations

266 S Harvard Blvd
Ste 100
Los Angeles, CA 90004
Phone (213) 383-9388

266 S Harvard Blvd
Ste 110
Los Angeles, CA 90004
Phone (213) 388-1111

3663 W 6th St
Ste 106
Los Angeles, CA 90020
Phone (213) 381-7272

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

5979 Lakeshore Rd
Fort Gratiot, MI 48059
Phone (810) 385-6370

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1821088162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 W 6TH ST",
            "address_2": "STE 106",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900203047",
            "telephone_number": "213-388-1111",
            "fax_number": "213-637-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 OWEN RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303417",
            "telephone_number": "810-342-1000",
            "fax_number": "810-342-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "SOON",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-27",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "145562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "C1676",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1102525771",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "110B510530",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3302883",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET FEDERAL",
            "identifier": "E49693",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS POINT OF SERVI",
            "identifier": "110B510530",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BLUE",
            "identifier": "110B510530",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN HEALTH PLAN",
            "identifier": "204371",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4464705",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8388337001",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METRAHEALTH",
            "identifier": "110134957",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "110B510530",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ADVANTAGE NETWORK",
            "identifier": "204371",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "E49693",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

Verify at the official NPI Registry.