SUSAN CHO NP
NPI 1104379692
Nurse Practitioner - Family in Culver City, CA

Q: What is Susan Cho's NPI number?

The NPI number for Susan Cho is 1104379692. It was assigned to this individual provider in the NPPES registry on August 1, 2016.

Q: What is Susan Cho's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Cho was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 01, 2016PECOS EnrolledAccepts Medicare Assignment

3861 SEPULVEDA BLVD, CULVER CITY, CA 90230(310) 450-2191(310) 450-0873 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 1, 2026, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Susan Cho Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN CHO NP (NPI 1104379692) is an individual family provider in Culver City, California, licensed in California (NP95006724) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1104379692

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSUSAN CHOCredential: NP

Location Address3861 SEPULVEDA BLVDCulver City, CA 90230-4605

Mailing Address3861 Sepulveda BlvdCulver City, CA 90230-4605 · (310) 450-2191 · Fax (310) 450-0873

Phone(310) 450-2191

Fax(310) 450-0873

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 1, 2016

Last NPPES UpdateJune 1, 20264 updates tracked since enumeration

NPPES CertifiedJune 1, 2026

✔ NPI 1104379692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · NP95006724

3861 SEPULVEDA BLVD, Culver City, CA 90230

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan Cho Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305279449

PECOS Enrollment IDI20191204001423

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90230 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JORDAN MARIA DIAZ PA-C

Physician Assistant