YEONAH CHO – Physician Assistant, NPI 1104586254

YEONAH CHO is a healthcare provider. based in San pablo, California. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA63402 (CA). The NPI Number for YEONAH CHO is 1104586254

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
YEONAH CHO
NPI
1104586254
Phone
(510) 965-5514
Address
2430 ROAD 20 APT 103B
Enumeration Date
29 December 2021
Last Update Date
28 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9253596255
Graduation Year
2023 (3 years ago)
PAC ID
2062862550
Group Practice PAC ID
2264564574
Professional Enrollment ID
I20231226000523
Address ID
CA945504144LI48XXXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

10,686 PHYSICIAN ASSISTANT in CA

Provider Addresses for YEONAH CHO

  • 2430 ROAD 20 APT 103B

    SAN PABLO, CA 948065006

    Phone: (510) 965-5514

    Type: Mailing

  • 2262 CAMINO RAMON # 200

    SAN RAMON, CA 945831353

    Phone: (925) 328-0255

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 70 Open Payments records for all available years, with a total value of $2,044.

Total Amount is formed as General ($2,044) + Research ($0) + Ownership ($0) = $2,044.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($379).

Total Amount

$2,044

General + Research + Ownership

Payments

70

Total payment records

General Amount

$2,044

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-26

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231226000523IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94806)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264564574View full group profile
NameSpecialtyState
D E R M A T O L O G YFL
D E R M A T O L O G YCA
Physician AssistantCA
Physician AssistantCA
Dermatology, Internal MedicineCA
Physician AssistantCA
Physician AssistantMI

Reviews

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Frequently asked questions

Can I use this page to confirm YEONAH CHO's NPI?
Yes. YEONAH CHO is listed with NPI 1104586254 in the public NPI dataset.
Is YEONAH CHO listed as active for patients and plans?
The listing shows YEONAH CHO as active in the NPI system.
What is YEONAH CHO's primary classification?
Physician Assistant is the headline specialty for YEONAH CHO here. Clinical services aligned with this taxonomy classification.
Where should I expect YEONAH CHO on a map?
Expect San Pablo, California as a primary anchor for YEONAH CHO unless the record lists multiple sites.
Is the information about YEONAH CHO up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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