SAN RAPHAEL FAMILY MEDICAL CENTER
NPI 1699152058
Obstetrics & Gynecology in Panorama City, CA

Active since May 05, 2015CLIA 05D2091521 · Waiver
8215 VAN NUYS BLVD, SUITE 104, PANORAMA CITY, CA 91402(818) 994-4010(818) 994-4033 Get Directions Write a Review

NPPES record last updated: May 5, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About San Raphael Family Medical Center NPPES

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

SAN RAPHAEL FAMILY MEDICAL CENTER (NPI 1699152058) is a healthcare organization registered as an obstetrics & gynecology in Panorama City, California and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through February 12, 2027 and lists Joon Choi, President, as its authorized official.

NPPES Registry Identity

NPI1699152058
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameJOON CHOI, MD. APC
Location Address8215 VAN NUYS BLVD, SUITE 104Panorama City, CA 91402-4810
Mailing Address8215 Van Nuys Blvd, Suite 104Panorama City, CA 91402-4810 · (818) 994-4010 · Fax (818) 994-4033
Fax(818) 994-4033
Organization SubpartYesParent: Joon Choi, Md Apc
Authorized OfficialJoon ChoiPresident · (818) 242-6811
Enumeration DateMay 5, 2015
✔ NPI 1699152058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · G80351
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
8215 VAN NUYS BLVD, Panorama City, CA 91402

Other Names 1

Doing Business AsSan Raphael Family Medical Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Raphael Family Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20121102000258Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to San Raphael Family Medical Center, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Obstetrics/Gynecology
NPI 1023073152
8100 SUNLAND BLVD
Sun Valley, CA 91352
(818) 242-6811
✔ PECOS✔ Accepts Medicare4.5 mi
Nurse Practitioner
NPI 1558672550
8100 SUNLAND BLVD
Sun Valley, CA 91352
(818) 306-4896
✔ PECOS4.5 mi
Obstetrics/Gynecology
NPI 1790128841
1300 N VERMONT AVE STE 1001
Los Angeles, CA 90027
(323) 473-5499
✔ PECOS✔ Accepts Medicare12 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2091521

San Raphael Family Medical Center · Panorama City, CA
Active · expires Feb 12, 2027
CLIA Number05D2091521
Laboratory TypePhysician Office
Certificate Effective DateFebruary 13, 2025
Certificate Expiration DateFebruary 12, 2027
Laboratory DirectorJoon Choi
Laboratory Phone(818) 994-4010
Laboratory LocationSan Raphael Family Medical Center8215 Van Nuys Blvd Ste 104, Panorama City, CA 91402
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Joon Choi, MD. Apc's NPI number?

The NPI number for Joon Choi, MD. Apc is 1699152058. It was assigned to this organization in the NPPES registry on May 5, 2015. The provider is doing business as San Raphael Family Medical Center.

Where is Joon Choi, MD. Apc located?

Joon Choi, MD. Apc is located at 8215 Van Nuys Blvd Suite 104, Panorama City, CA 91402. The listed phone number is (818) 994-4010.

What is Joon Choi, MD. Apc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Joon Choi, MD. Apc enrolled in Medicare?

Yes. Joon Choi, MD. Apc is registered in the Medicare PECOS enrollment system.

When is Joon Choi, MD. Apc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Joon Choi, MD. Apc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Joon Choi, MD. Apc, in Nurse Practitioner and Obstetrics/Gynecology. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Joon Choi, MD. Apc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2091521) is associated with this NPI, valid through February 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Joon Choi, MD. Apc was last updated on May 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.