Individual provider Active NPI

Alvin Chin, M.D.

  • Specialist
  • Sylmar, CA
National Provider Identifier
1013072073
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A44112 Issued in CA
Practice address
12610 Glenoaks Blvd
Sylmar, CA 91342-4783
Phone
(818) 361-4111
Fax
(818) 361-7584
NPI assigned
Dec 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A44112 CA Primary

Addresses

Primary practice location

12610 Glenoaks Blvd
Sylmar, CA 91342-4783

Mailing address

12610 Glenoaks Blvd
Sylmar, CA 91342-4783
Phone (818) 361-4111

Other identifiers 1

IdentifierTypeStateIssuer
00A441120MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201006001366 CA Practitioner - General Practice 3375592488 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Los Angeles County Department of Public HealthGroup PAC ID 3072966621, 40 clinicians

Practice addresses (Care Compare)

241 N Figueroa St
Los Angeles, CA 90012-2601
Phone (213) 240-8220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A44112CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Aug 30, 2020 Accepting new patients
Los Angeles County Department of Public Health CurrentSince Nov 14, 2023 Accepting new patients
County of Los Angeles Current Accepting new patients
County of Los Angeles CurrentSince Aug 30, 2020 Accepting new patients
Mid City Associates Medical Group Specialist PastSince Sep 1, 2010 Accepting new patients
Benevolence Industries Inc. Past Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

5555 Ferguson Dr
Ste 10050
Commerce, CA 90022
Phone (213) 240-8220

123 W Manchester Blvd
Inglewood, CA 90301
Phone (310) 419-5325

335 E Avenue K6
Ste B
Lancaster, CA 93535
Phone (661) 471-4810

241 N Figueroa St
Los Angeles, CA 90012
Phone (213) 240-8204

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1013072073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12610 GLENOAKS BLVD",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424783",
            "telephone_number": "818-361-4111",
            "fax_number": "818-361-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12610 GLENOAKS BLVD",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913424783",
            "telephone_number": "818-361-4111",
            "fax_number": "818-361-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "ALVIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A44112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A441120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

Verify at the official NPI Registry.