Active NPI
Alvin Chin, M.D.
- Specialist
- Sylmar, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A44112
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A441120 | Medicaid | CA |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A44112 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Los Angeles | Current | Accepting new patients | |
| Los Angeles County Department of Public Health | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| County of Los Angeles | Current | Accepting new patients | |
| Mid City Associates Medical Group | Specialist | Past | 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.
-
- Public Health & General Preventive Medicine Physician
- Los Angeles, CA
- NPI 1962109033
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
- Clinic/Center
- Los Angeles, CA
- NPI 1295407401
-
- Urgent Care Clinic/Center
- Los Angeles, CA
- NPI 1659993871
-
- Multi-Specialty Clinic/Center
- Sylmar, CA
- NPI 1831661529
-
- Specialist
- Sylmar, CA
- NPI 1427113463
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.