Individual provider Active NPI

Soochuen Tricia Kho, M.D.

  • Otolaryngology Physician
  • Thousand Oaks, CA
National Provider Identifier
1881626661
Registry record updated Apr 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A79475 Issued in CA
Practice address
301 S Moorpark Rd
Thousand Oaks, CA 91361-1008
Phone
(805) 379-9646
Fax
(805) 379-0611
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A79475 CA Primary

Addresses

Primary practice location

301 S Moorpark Rd
Thousand Oaks, CA 91361-1008

Mailing address

2876 Sycamore Dr
Ste 303
Simi Valley, CA 93065-1550
Phone (805) 379-9646

Other identifiers 1

IdentifierTypeStateIssuer
P00957562OtherCAMEDICARE RAILROAD

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
I20070521000296 CA Practitioner - Otolaryngology 5294832630 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians
West Coast Ear, Nose and ThroatGroup PAC ID 9638352503, 7 clinicians

Practice addresses (Care Compare)

1700 N Rose Ave
Suite 460
Oxnard, CA 93030-7629
Phone (805) 983-0395

2415 E Main St
Ventura, CA 93003-2603
Phone (805) 454-7133

2876 Sycamore Dr
Suite 303
Simi Valley, CA 93065-1550
Phone (805) 527-7320

299 W Hillcrest Dr
Suite 100
Thousand Oaks, CA 91360-7820
Phone (805) 379-9646

301 S Moorpark Rd
Thousand Oaks, CA 91361-1008
Phone (805) 379-9646

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.26 of 100Reported as group
Quality
80.51
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A79475CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Nov 11, 2025 Accepting new patients
Bass Medical Group Otolaryngology CurrentSince Nov 11, 2025 Accepting new patients
Bass Medical Group Past Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

2438 N Ponderosa Dr
Ste C110
Camarillo, CA 93010
Phone (805) 484-5929

1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000

1700 N Rose Ave
Ste 460
Oxnard, CA 93030
Phone (805) 983-0395

2876 Sycamore Dr
Ste 303
Simi Valley, CA 93065
Phone (805) 527-7320

301 S Moorpark Rd
Thousand Oaks, CA 91361
Phone (805) 379-0824

299 W Hillcrest Dr
Ste 100
Thousand Oaks, CA 91360
Phone (805) 379-0824

2415 E Main St
Ventura, CA 93003
Phone (805) 454-7133

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: soochuen.kho.1@25176.direct.athenahealth.com

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.

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1881626661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2876 SYCAMORE DR",
            "address_2": "STE 303",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651550",
            "telephone_number": "805-379-9646",
            "fax_number": "805-379-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MOORPARK RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611008",
            "telephone_number": "805-379-9646",
            "fax_number": "805-379-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHO",
        "first_name": "SOOCHUEN",
        "middle_name": "TRICIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A79475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00957562",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.