Da Som Choi, - Medicare Nurse Practitioner in Modesto, CA

Da Som Choi, is a medicare enrolled "Nurse Practitioner - Family" in Modesto, California. Her current practice location is 1224 Scenic Dr, Modesto, California. You can reach out to her office (for appointments etc.) via phone at (209) 442-6077.

Da Som Choi is licensed to practice in California (license number 95016104) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407484058.

Contact Information

Da Som Choi,
1224 Scenic Dr,
Modesto, CA 95350-6137
(209) 442-6077
(833) 573-2336

Map and Direction




Provider's Profile

Full NameDa Som Choi
GenderFemale
SpecialityNurse Practitioner - Family
Location1224 Scenic Dr, Modesto, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407484058
  • Provider Enumeration Date: 03/30/2020
  • Last Update Date: 08/20/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5294153730
  • Enrollment ID: I20210121002728

Medical Identifiers

Medical identifiers for Da Som Choi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407484058NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95016104 (California)Primary
363LF0000XNurse Practitioner - Family 1-154049 (Alabama)Secondary
163W00000XRegistered Nurse 95231909 (California)Secondary
163WP2201XRegistered Nurse - Ambulatory Care 1-154049 (Alabama)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Da Som Choi allows following entities to bill medicare on her behalf.
Entity NameAll Inclusive Medical Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518369891
PECOS PAC ID: 3274855879
Enrollment ID: O20141210001887
Entity NameMobile Medical Group Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487169660
PECOS PAC ID: 8224397963
Enrollment ID: O20180125002042
Entity NameShine Mmg Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053930248
PECOS PAC ID: 6103257282
Enrollment ID: O20200505000514
Entity NameCalifornia Mobile Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588439061
PECOS PAC ID: 7719330091
Enrollment ID: O20240202001837
Entity NamePrax Medical Ca PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346051943
PECOS PAC ID: 5698256444
Enrollment ID: O20260220000093

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Da Som Choi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Da Som Choi,
3249 Shrute Dr,
Lathrop, CA 95330-8131

Ph: (334) 672-2792
Da Som Choi,
1224 Scenic Dr,
Modesto, CA 95350-6137

Ph: (209) 442-6077

Reviews and Comments


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Phone: 209-576-4200    Fax: 209-556-5064

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.