Organization Active NPI

Lillian Choi MD Inc

  • Gastroenterology Physician
  • Merced, CA
National Provider Identifier
1902552003
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
LILLIAN CHOI MD INC
Practice address
360 E Yosemite Ave Ste 300
Merced, CA 95340-8201
Phone
(209) 720-7183
Fax
(209) 720-7371
NPI assigned
Feb 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
Lillian Youngju Choi, MDNPI 1790769818
Title
Dr
Phone
(510) 427-5707

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

360 E Yosemite Ave Ste 300
Merced, CA 95340-8201

Mailing address

360 E Yosemite Ave Ste 300
Merced, CA 95340-8201
Phone (209) 720-7183

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220418000070 CA Part B Supplier - Clinic/Group Practice 6709272982 Receives reassigned benefits from 1 practitioner
Practice locations: Merced, CA

National Provider Directory

National Provider Directory

Locations

360 E Yosemite Ave
Ste 300
Merced, CA 95340
Phone (209) 720-7183

Practitioners & affiliated clinicians

Practitioners 1

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": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1902552003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 E YOSEMITE AVE STE 300",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408201",
            "telephone_number": "209-720-7183",
            "fax_number": "209-720-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E YOSEMITE AVE STE 300",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408201",
            "telephone_number": "209-720-7183",
            "fax_number": "209-720-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILLIAN CHOI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "YOUNGJU",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "510-427-5707",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.