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JESSICA CHOI D.M.D
NPI 1780980151
Dentist - Pediatric Dentistry in South Pasadena, CA

Active since February 02, 2011PECOS Enrolled
1107 FAIR OAKS AVE, #233, SOUTH PASADENA, CA 91030(216) 269-3745 Get Directions Write a Review

NPPES record last updated: April 18, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessica Choi D.m.d NPPES

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

JESSICA CHOI D.M.D (NPI 1780980151) is an individual pediatric dentistry provider in South Pasadena, California, licensed in California (60144) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780980151
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameJESSICA CHOICredential: D.M.D
Location Address1107 FAIR OAKS AVE, #233South Pasadena, CA 91030-3311
Mailing Address1107 Fair Oaks Ave, #233South Pasadena, CA 91030-3311
Phone(216) 269-3745
Sole ProprietorYes
Enumeration DateFebruary 2, 2011
Last NPPES UpdateApril 18, 2014
✔ NPI 1780980151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · 60144
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

1107 FAIR OAKS AVE, South Pasadena, CA 91030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Choi D.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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91030 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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 3

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

JUSTIN PHILLIPS MD, A MEDICAL CORPORATION
Physical Medicine & Rehabilitation
1107 FAIR OAKS AVE, UNIT 465
SOUTH PASADENA, CA 91030
Los Angeles County (626) 710-3810
DORCAS ELIZABET PELICO
Behavior Analyst
1107 FAIR OAKS AVE, 458
SOUTH PASADENA, CA 91030
Los Angeles County (855) 832-6727
JOSEPH HAIG DADOURIAN ED.D.
Psychologist (Clinical)
1107 FAIR OAKS AVE, #48
SOUTH PASADENA, CA 91030
Los Angeles County (626) 376-5955

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 Jessica Choi's NPI number?

The NPI number for Jessica Choi is 1780980151. It was assigned to this individual provider in the NPPES registry on February 2, 2011.

Where is Jessica Choi located?

Jessica Choi practices at 1107 Fair Oaks Ave #233, South Pasadena, CA 91030. The listed phone number is (216) 269-3745.

What is Jessica Choi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Jessica Choi enrolled in Medicare?

Yes. Jessica Choi is registered in the Medicare PECOS enrollment system.

What insurance does Jessica Choi accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Jessica Choi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Choi was last updated on April 18, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.