Organization Active NPI

Kevin Jae Choi, MD, Ms a Professional Medical Corporation

  • Medical Specialty Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1831731611
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
KEVIN JAE CHOI, MD, MS A PROFESSIONAL MEDICAL CORPORATION
Doing business as
Sensa Health
Practice address
966 S Western Ave Ste 101
Los Angeles, CA 90006-1014
Phone
(213) 267-2256
Fax
(213) 463-9131
NPI assigned
Oct 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Authorized official

Name
Dr. Kevin Jae Choi, MDNPI 1134486681
Title
Physician
Phone
(213) 267-2256

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

966 S Western Ave Ste 101
Los Angeles, CA 90006-1014

Mailing address

966 S Western Ave Ste 101
Los Angeles, CA 90006-1014
Phone (213) 267-2566

Other practice location 1

5832 Beach Blvd Unit 206
Buena Park, CA 90621-5501
Phone (213) 267-2256

Other names 1

  • Sensa Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191218001709 CA Part B Supplier - Clinic/Group Practice 5395179741 Receives reassigned benefits from 4 practitioners
Practice locations: Los Angeles, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2275962Sensa Health966 S Western Ave Suite 101, Los Angeles, CA 90006Certificate of waiverJan 30, 2027

National Provider Directory

National Provider Directory

Locations

966 S Western Ave
Ste 101
Los Angeles, CA 90006
Phone (213) 267-2256

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1831731611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 S WESTERN AVE STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900061014",
            "telephone_number": "213-267-2566",
            "fax_number": "213-463-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 S WESTERN AVE STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900061014",
            "telephone_number": "213-267-2256",
            "fax_number": "213-463-9131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5832 Beach Blvd Unit 206",
            "address_purpose": "LOCATION",
            "city": "Buena Park",
            "state": "CA",
            "postal_code": "906215501",
            "country_code": "US",
            "telephone_number": "213-267-2256",
            "fax_number": "213-463-9131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KEVIN JAE CHOI, MD, MS A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-12",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JAE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "213-267-2256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sensa Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sensa Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.