Active NPI
Tammy S CHI, M.D.
- Pediatrics Physician
- Thousand Oaks, CA
National Provider Identifier
1003945585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G84669
- Practice address
- 299 W Hillcrest Dr Ste 100
Thousand Oaks, CA 91360-7820 - Phone
- (805) 497-7888
- Fax
- (805) 494-3498
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G84669 | CA | Primary |
Addresses
Primary practice location
299 W Hillcrest Dr Ste 100
Thousand Oaks, CA 91360-7820
Mailing address
299 W Hillcrest Dr Ste 100
Thousand Oaks, CA 91360-7820
Phone (805) 497-7888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330947157 | Other | CA | COASTAL KIDS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G84669 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Robles Regional Medical Center | Past | Accepting new patients | |
| Friends of Family Health Center | Past | Accepting new patients | |
| Coastal Kids, a Professional Medical Corporation | Pediatrics | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Newport Beach, CA
- NPI 1740311737
-
- Federally Qualified Health Center (FQHC)
- Ontario, CA
- NPI 1003546342
-
- General Acute Care Hospital
- Thousand Oaks, CA
- NPI 1033163019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697241600000",
"number": "1003945585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "299 W HILLCREST DR STE 100",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913607820",
"telephone_number": "805-497-7888",
"fax_number": "805-494-3498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 W HILLCREST DR STE 100",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913607820",
"telephone_number": "805-497-7888",
"fax_number": "805-494-3498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHI",
"first_name": "TAMMY",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2023-10-14",
"certification_date": "2023-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G84669",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COASTAL KIDS",
"identifier": "330947157",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.