Active NPI
Johnathan Che
- Family Medicine Physician
- Pasadena, CA
National Provider Identifier
1982373015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 95018375
- Practice address
- 2319 E Washington Blvd # 2
Pasadena, CA 91104-1945 - Phone
- (626) 797-8800
- NPI assigned
- Sep 11, 2021
- Reactivated
- Nov 11, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 95018375 | CA | Primary |
Addresses
Primary practice location
2319 E Washington Blvd # 2
Pasadena, CA 91104-1945
Mailing address
2319 E Washington Blvd # 2
Pasadena, CA 91104-1945
Phone (626) 797-8800
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95018375 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S D Henry MD Inc | Single Specialty | Current | Accepting new patients |
Locations
2319 E Washington Blvd
#2
Pasadena, CA 91104
Phone (626) 797-8800
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": "1631318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638316800000",
"number": "1982373015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2319 E WASHINGTON BLVD # 2",
"city": "PASADENA",
"state": "CA",
"postal_code": "911041945",
"telephone_number": "626-797-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2319 E WASHINGTON BLVD # 2",
"city": "PASADENA",
"state": "CA",
"postal_code": "911041945",
"telephone_number": "626-797-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHE",
"first_name": "JOHNATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-11",
"last_updated": "2021-12-01",
"certification_date": "2021-12-01",
"deactivation_date": "2021-10-25",
"reactivation_date": "2021-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "95018375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.