Individual provider Active NPI

Mi-Kyong Cho, D.C.

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1912920703
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC29362 Issued in CA
Practice address
12798 Rancho Penasquitos Blvd
Suite # J
San Diego, CA 92129-2950
Phone
(858) 484-4242
Fax
(858) 484-4002
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29362 CA Primary

Addresses

Primary practice location

12798 Rancho Penasquitos Blvd
Suite # J
San Diego, CA 92129-2950

Mailing address

12798 Rancho Penasquitos Blvd
Suite # J
San Diego, CA 92129-2950
Phone (858) 484-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
DC29362CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
LNBC, Inc Chiropractor CurrentSince Jun 26, 2022 Accepting new patients

Locations

12798 Rancho Penasquitos Blvd
Ste J
San Diego, CA 92129
Phone (858) 484-4242

Organizations & group practices 1

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912920703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12798 RANCHO PENASQUITOS BLVD",
            "address_2": "SUITE # J",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292950",
            "telephone_number": "858-484-4242",
            "fax_number": "858-484-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12798 RANCHO PENASQUITOS BLVD",
            "address_2": "SUITE # J",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292950",
            "telephone_number": "858-484-4242",
            "fax_number": "858-484-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "MI-KYONG",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.