Individual provider Active NPI

Chong Hyun Choe, M.D.

  • Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
  • Oceansdie, CA
National Provider Identifier
1861464513
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianTaxonomy code 2088F0040X
License
C182736 Issued in CA
Practice address
200 Mercy Circle
Oceansdie, CA 92055-5191
Phone
(760) 719-3209
NPI assigned
Feb 6, 2006
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD60276697 WA
Military Health Care Provider 171000000X D0060759 MD
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician 2088F0040X C182736 CA Primary

Addresses

Primary practice location

200 Mercy Circle
Oceansdie, CA 92055-5191

Mailing address

200 Mercy Circle
Oceanside, CA 92055
Phone (760) 719-3209

Other identifiers 2

IdentifierTypeStateIssuer
1861464513MedicaidWA
0301274OtherWALABOR & INDUSTRY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220920002721 ND Practitioner - Urology 3476705641 Reassigns benefits to 1 organization
I20250220003897 CA Practitioner - Urology 3476705641 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Tulane University School of Medicine, 2002
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Central Valley General HospitalGroup PAC ID 8325957517, 89 clinicians
Oroville HospitalGroup PAC ID 1254234339, shared by 14 NPIs, 93 clinicians
Orohealth Corporation a Non Profit Healthcare SystemGroup PAC ID 4082501192, 126 clinicians

Practice addresses (Care Compare)

1025 N Douty St
Hanford, CA 93230-3722

1524 W Lacey Blvd
Hanford, CA 93230-5965

1524 W Lacey Blvd
Suite 101
Hanford, CA 93230-5990
Phone (559) 583-4695

2767 Olice Hwy
Oroville, CA 95966-6118
Phone (530) 533-8500

2767 Olive Hwy
Oroville, CA 95966-6118

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0060759MDMDMilitary Health Care Provider
C182736CAMDFemale Pelvic Medicine and Reconstructive Surgery (Urology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orohealth Corporation a Non Profit Healthcare System CurrentSince May 16, 2025 Accepting new patients
Adventist Health Physician Network CurrentSince Apr 7, 2025 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Apr 7, 2025 Accepting new patients
Innovis Health LLC CurrentSince Nov 20, 2023 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jul 18, 2022 Accepting new patients
Innovis Health, LLC Current Accepting new patients
Reedley Community Hospital CurrentSince Mar 24, 2025 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jul 18, 2022 Accepting new patients
Reedley Community Hospital CurrentSince Mar 24, 2025 Accepting new patients
Innovis Health, LLC CurrentSince Nov 20, 2023 Accepting new patients

Locations

1025 N Douty St
Hanford, CA 93230
Phone (559) 537-0170

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

1781 Simpson St
Kingsburg, CA 93631
Phone (559) 315-3566

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

2767 Olive Hwy
#260
Oroville, CA 95966
Phone (530) 532-8544

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

Organizations & group practices 11

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 2

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1861464513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MERCY CIRCLE",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "760-719-3209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MERCY CIRCLE",
            "city": "OCEANSDIE",
            "state": "CA",
            "postal_code": "920555191",
            "telephone_number": "760-719-3209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOE",
        "first_name": "CHONG",
        "middle_name": "HYUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WA",
            "license": "MD60276697",
            "primary": false
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "MD",
            "license": "D0060759",
            "primary": false
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "CA",
            "license": "C182736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861464513",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRY",
            "identifier": "0301274",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.