Individual provider Active NPI

Johol Cho-Hong Chan, D.O.

  • Obstetrics & Gynecology Physician
  • Salinas, CA
National Provider Identifier
1902867187
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DO198325 Issued in OR
Practice address
219 N Sanborn Rd
Salinas, CA 93905-2218
Phone
(831) 757-1365
Fax
(831) 757-2824
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X TL6214 WY
Obstetrics & Gynecology Physician 207V00000X K1389 TX
Obstetrics & Gynecology Physician 207V00000X DO198325 OR Primary

Addresses

Primary practice location

219 N Sanborn Rd
Salinas, CA 93905-2218

Mailing address

PO Box 450193
Laredo, TX 78045-0004
Phone (956) 795-8236

Other practice location 1

7210 McPherson Ave
Suite 120
Laredo, TX 78041-6507
Phone (956) 795-8236

Other practice location 2

930 SW Abbey St Ste B
Newport, OR 97365-4820
Phone (541) 574-7235

Other identifiers 2

IdentifierTypeStateIssuer
P00691823OtherTXPALMETTO GBA (MEDICARE RAILROAD)
101708906MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jchan197847@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA, WY, NM4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20100830001099 TX Practitioner - Obstetrics/Gynecology 1850466277 Reassigns benefits to 2 organizations
I20180207003032 CA Practitioner - Obstetrics/Gynecology 1850466277 Reassigns benefits to 2 organizations
I20200602002043 WY Practitioner - Obstetrics/Gynecology 1850466277 Reassigns benefits to 1 organization
I20211123002402 NM Practitioner - Obstetrics/Gynecology 1850466277 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K1389TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital of Sweetwater County CurrentSince Jun 1, 2020 Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Dec 31, 2017 Accepting new patients
Seton Family of Doctors Obstetrics & Gynecology CurrentSince Feb 18, 2022 Accepting new patients
Seton Family of Doctors CurrentSince Feb 18, 2022 Accepting new patients
Las Cruces Physician Practices, LLC CurrentSince Aug 18, 2021 Accepting new patients
Magella Medical Group, Inc. Obstetrics & Gynecology CurrentSince Oct 1, 2020 Accepting new patients
Pecos Valley of New Mexico, LLC CurrentSince Nov 6, 2022 Accepting new patients
Las Cruces Physician Practices, LLC CurrentSince Aug 18, 2021 Accepting new patients
Memorial Hospital of Sweetwater County CurrentSince Jun 1, 2020 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Jul 3, 2019 Accepting new patients
Seton Family of Doctors Obstetrics & Gynecology Current Accepting new patients

Locations

File 50978
Los Angeles, CA 90074

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

1555 Soquel Dr
Santa Cruz, CA 95065
Phone (831) 462-7700

2420 W Pierce St
Ste 200
Carlsbad, NM 88220
Phone (505) 885-0600

2520 S Telshor Blvd
Las Cruces, NM 88011
Phone (575) 522-9793

4351 E Lohman Ave
Ste 403
Las Cruces, NM 88011
Phone (575) 522-6806

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1180 College Dr
Rock Springs, WY 82901
Phone (307) 352-8125

1200 College Dr
Rock Springs, WY 82901
Phone (307) 352-8352

Interoperability endpoints

  • Direct secure messaging: jchan197847@samhealth.direct-ci.com
  • Direct secure messaging: jchan1046927@direct.sw.org
  • Direct secure messaging: johol.chan.p1@direct.gpspecialtyclinic.nextgenshare.com
  • Direct secure messaging: johol.chan.1@6965.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1902867187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450193",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780450004",
            "telephone_number": "956-795-8236",
            "fax_number": "956-718-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N SANBORN RD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939052218",
            "telephone_number": "831-757-1365",
            "fax_number": "831-757-2824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7210 McPherson Ave",
            "address_2": "Suite 120",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780416507",
            "country_code": "US",
            "telephone_number": "956-795-8236",
            "fax_number": "956-718-6994",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "930 SW Abbey St Ste B",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "OR",
            "postal_code": "973654820",
            "country_code": "US",
            "telephone_number": "541-574-7235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "JOHOL",
        "middle_name": "CHO-HONG",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WY",
            "license": "TL6214",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K1389",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "DO198325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA (MEDICARE RAILROAD)",
            "identifier": "P00691823",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101708906",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jchan197847@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "930 SW Abbey St Ste B",
            "city": "Newport",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973654820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.