Organization Active NPI

Jonah Medical Group, Inc.

Doing business as Nanoon Medical Group

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1942591847
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JONAH MEDICAL GROUP, INC.
Doing business as
Nanoon Medical Group
Practice address
866 S Westmoreland Ave Ste 101
Los Angeles, CA 90005-2372
Phone
(213) 380-2266
Fax
(213) 315-5195
NPI assigned
Apr 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2024

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

Authorized official

Name
Dr. Edwin Choi, M.D.
Title
Owner/Ceo
Phone
(800) 821-5675

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X

Addresses

Primary practice location

866 S Westmoreland Ave Ste 101
Los Angeles, CA 90005-2372

Mailing address

866 S. Westmoreland Avenue
Suite 101
Los Angeles, CA 90005
Phone (800) 821-5675

Other practice location 1

3663 W 6th St Ste 103
Los Angeles, CA 90020-3047
Phone (213) 388-5144

Other practice location 2

15095 Amargosa Rd Ste 102
Victorville, CA 92394-1875
Phone (760) 552-4470

Other practice location 3

11637 The Plz Ste 45
Norwalk, CA 90650-3930
Phone (562) 809-0142

Other practice location 4

20627 Golden Springs Dr Ste 1B
Diamond Bar, CA 91789-4815
Phone (909) 480-0200

Other names 1

  • Nanoon Medical Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110607000636 CA Part B Supplier - Clinic/Group Practice 5092992644 Receives reassigned benefits from 12 practitioners
Practice locations: Anaheim, CA; Cerritos, CA; Diamond Bar, CA; Los Angeles, CA; Norwalk, CA; Victorville, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0918728Jonah Medical Group11637 The Plaza Unit 45, Norwalk, CA 90650Certificate of waiverJul 20, 2027
05D1034982Jonah Medical Group Inc3663 W 6TH St, Ste 103, Los Angeles, CA 90020Certificate of waiverDec 16, 2026

National Provider Directory

National Provider Directory

Locations

12506 South St
Cerritos, CA 90703
Phone (562) 809-0142

20627 Golden Springs Dr
#1
Diamond Bar, CA 91789

20627 Golden Springs Dr
Ste 1D
Diamond Bar, CA 91789

3663 W 6th St
Ste 103
Los Angeles, CA 90020
Phone (213) 388-5144

3663 W 6th St
Ste 305
Los Angeles, CA 90020
Phone (213) 388-5144

866 S Westmoreland Ave
Ste 101
Los Angeles, CA 90005
Phone (213) 380-2266

11637 The Plz
#47
Norwalk, CA 90650

1411 S Riverside Ave
Rialto, CA 92376

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBFCCD

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732320000000",
    "number": "1942591847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 S. WESTMORELAND AVENUE",
            "address_2": "SUITE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90005",
            "telephone_number": "800-821-5675",
            "fax_number": "213-289-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "866 S WESTMORELAND AVE STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900052372",
            "telephone_number": "213-380-2266",
            "fax_number": "213-315-5195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3663 W 6th St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900203047",
            "country_code": "US",
            "telephone_number": "213-388-5144",
            "fax_number": "213-388-5154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15095 Amargosa Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923941875",
            "country_code": "US",
            "telephone_number": "760-552-4470",
            "fax_number": "760-552-4472",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11637 The Plz Ste 45",
            "address_purpose": "LOCATION",
            "city": "Norwalk",
            "state": "CA",
            "postal_code": "906503930",
            "country_code": "US",
            "telephone_number": "562-809-0142",
            "fax_number": "562-809-2672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20627 Golden Springs Dr Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Diamond Bar",
            "state": "CA",
            "postal_code": "917894815",
            "country_code": "US",
            "telephone_number": "909-480-0200",
            "fax_number": "909-480-0201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JONAH MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "800-821-5675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nanoon Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.