PETER Y CHO MD INC (NPI# 1750581369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750581369 |
| Entity Type | Organization |
| Organization Name | PETER Y CHO MD INC |
| Practice Address |
115 Hospital Dr Ukiah CA 95482-4591 |
| Practice Telephone | 7074631900 |
| Practice Fax Number | 7077806375 |
| Mailing Telephone | 7074631900 |
| Mailing Fax Number | 7077806375 |
| Enumeration Date | 2007-07-21 |
| Last Update Date | 2008-05-06 |
| Authorized Official Name | PETER Y CHO (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 7074631900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G80908 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | LICENSE | A82325 | 01 |
| CA | LICENSE | G80908 | 01 |
| CA | 00G809081 | 05 | |
| CA | 1619968948 | 05 |
| Street Address |
115 HOSPITAL DR |
| City | UKIAH |
| State | CA |
| Zip Code | 95482-4591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619968948 | Peter Cho | Family Medicine | 115 Hospital Dr, Ukiah, CA 95482-4591 | 2005-11-04 |
| 1083223705 | Julie Miner | Nurse Practitioner | 115 Hospital Dr, Ukiah, CA 95482-4591 | 2020-07-28 |
| 1346580925 | Sharon M Cho | Nurse Practitioner | 115 Hospital Dr, Ukiah, CA 95482-4591 | 2013-02-19 |
| 1417295643 | Adventist Health Heart Institute-ukiah | Clinic/Center | 115 Hospital Dr, Ukiah, CA 95482-4591 | 2013-01-23 |
| 1467790774 | Adventist Health Physicians Network | Internal Medicine | 115 Hospital Dr, Ukiah, CA 95482-4591 | 2013-01-21 |
| 1205026481 | Katy White | Nurse Practitioner | 115 Hospital Dr, Ukiah, CA 95482-4591 | 2007-07-25 |
| 1447235254 | Benjamin H Meyer | Internal Medicine | 115 Hospital Dr, Ukiah, CA 95482-4591 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932726726 | Gloria Gonzalez Campise | Midwife | 205 W. Clay Street, Ukiah, CA 95482 | 2020-06-29 |
| 1083255095 | Mendocino Care Network | Internal Medicine | 1080 N State St, Ukiah, CA 95482 | 2019-10-01 |
| 1801383153 | Costco Wholesale Corporation | Pharmacy | 1275 Airport Park Blvd., Ukiah, CA 95482 | 2018-04-21 |
| 1922528256 | Ian David Winter | Case Manager/Care Coordinator | 1120 S. Dora St, Ukiah, CA 95482 | 2017-06-27 |
| 1568917938 | Rebecca Ann Dragomani | Nurse Practitioner | 260 Hospital Dr Ste 101, Ukiah, CA 95482 | 2016-08-16 |
| 1811362536 | Manzanita Services, Inc. | Community/Behavioral Health | 410 W. Jones St., Ukiah, CA 95482 | 2015-12-07 |
| 1689061061 | Pamela Mathias | Counselor | 367 East Gobbi Street, Suite E, Ukiah, CA 95482 | 2015-04-23 |
| 1275927030 | Jack David Segel | Counselor | 564 Dora St., Ste.d, Ukiah, CA 95482 | 2015-03-19 |
| 1689070211 | Mendocino County Youth Project | Clinic/Center | 347 Plum St, #b, Ukiah, CA 95482 | 2014-11-10 |
| 1346649951 | Ae Ran Ku | Dentist | 1096 South Dora Street, Ukiah, CA 95482 | 2014-08-19 |
| Find all providers in zip 95482 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417313560 | Medical Examiner | Specialist | 464 Luce Ave, Ukiah, CA 95482-5631 | 2016-01-05 |
| 1497920490 | Margaret Bracewell | Specialist | 2301 Woodlake Dr, Ukiah, CA 95482-3660 | 2008-04-30 |
| 1467641282 | Brian Cable Md, Inc | Specialist | 236 Hospital Dr Ste B, Ukiah, CA 95482-4561 | 2007-10-17 |
| 1790770428 | Frederick A Lodge | Specialist | 580 N Spring St, Ukiah, CA 95482-4251 | 2005-09-19 |
| 1801322268 | Michael Weil | Specialist | 1165 S Dora St, Ukiah, CA 95482-8325 | 2017-05-04 |
| 1306135603 | Donald L Coursey Md Medical Corporation | Specialist | 1165 S Dora St Ste C2, Ukiah, CA 95482-6353 | 2011-04-07 |
| 1497940191 | Hengbing Wang | Specialist | 260 Hospital Dr, Suite 207, Ukiah, CA 95482-4568 | 2007-09-06 |
| 1134290380 | Joseph R Kimbro | Specialist | 275 Hospital Dr, Ukiah, CA 95482-4531 | 2006-11-10 |
| 1790866085 | William Forrest Cress | Specialist | 246 Hospital Dr, Ukiah, CA 95482-4533 | 2006-10-17 |
| 1083646525 | Mendo Lake Urologic Medical Group, Inc | Specialist | 246 Hospital Dr, Ukiah, CA 95482-4533 | 2006-07-07 |
| Find all providers in UKIAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.