DR. SUSAN HYUN KYUNG CHO M.D.
NPI 1245459619
Psychiatry & Neurology - Child & Adolescent Psychiatry in Fontana, CA

Active since April 24, 2007PECOS Enrolled
17053 FOOTHILL BLVD BLDG B, FONTANA, CA 92335(951) 836-3975 Get Directions Write a Review

NPPES record last updated: February 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Susan Hyun Kyung Cho M.d. NPPES

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

DR. SUSAN HYUN KYUNG CHO M.D. (NPI 1245459619) is an individual child & adolescent psychiatry provider in Fontana, California, licensed in California (A87593) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245459619
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. SUSAN HYUN KYUNG CHOCredential: M.D.
Location Address17053 FOOTHILL BLVD BLDG BFontana, CA 92335-3574
Mailing Address303 E Vanderbilt WaySan Bernardino, CA 92415-0026 · (909) 252-5149
Sole ProprietorNo
Enumeration DateApril 24, 2007
Last NPPES UpdateFebruary 9, 2021
NPPES CertifiedFebruary 9, 2021
✔ NPI 1245459619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · A87593
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
17053 FOOTHILL BLVD BLDG B, Fontana, CA 92335

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan Hyun Kyung Cho M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Susan Cho reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
17053 E. FOOTHILL BLVD., BUILDING B
Fontana, CA 92335
  • Reassigned Medicare billing, California enrollment
  • 233 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 12

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

Counselor
17053 FOOTHILL BLVD BLDG B
FONTANA, CA 92335
Community Health Worker
17053 FOOTHILL BLVD BLDG B
FONTANA, CA 92335
Registered Nurse
17053 FOOTHILL BLVD BLDG B
FONTANA, CA 92335
Social Worker
17053 FOOTHILL BLVD BLDG B
FONTANA, CA 92335
Marriage & Family Therapist
17053 FOOTHILL BLVD BLDG B
FONTANA, CA 92335
Social Worker
17053 FOOTHILL BLVD BLDG B
FONTANA, CA 92335
Counselor (Professional)
17053 FOOTHILL BLVD BLDG B
FONTANA, CA 92335
Day Training/Habilitation Specialist
17053 FOOTHILL BLVD BLDG B
FONTANA, CA 92335

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Cho's NPI number?

The NPI number for Susan Cho is 1245459619. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Susan Cho located?

Susan Cho practices at 17053 Foothill Blvd Bldg B, Fontana, CA 92335. The listed phone number is (951) 836-3975.

What is Susan Cho's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Susan Cho enrolled in Medicare?

Yes. Susan Cho is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Susan Cho's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Cho reassigns Medicare benefits to County Of San Bernardino (Fontana, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Cho's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Susan Cho was last updated on February 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.