NPIMap

Individual provider Active NPI

Peter C CHI, M.D.

  • Family Medicine Physician
  • Temple City, CA
National Provider Identifier
1023090867
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G77088 Issued in CA
Practice address
5828 Temple City Blvd
Temple City, CA 91780-2112
Phone
(626) 285-1154
Fax
(626) 285-1361
NPI assigned
Nov 17, 2005
Last updated
Oct 4, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G77088 CA Primary

Addresses

Primary practice location

5828 Temple City Blvd
Temple City, CA 91780-2112

Mailing address

PO Box 1916
Temple City, CA 91780-7916
Phone (626) 285-1154

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090720000079 CA Practitioner - Family PracticePractitioner - Internal Medicine 9638254386 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Medical College of Wisconsin, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5828 Temple City Blvd
Temple City, CA 91780-2112
Phone (626) 285-1154

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77088CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Arcadia Hospitalist Medical Group, Inc. CurrentSince Jul 29, 2013 Accepting new patients
Peter C. CHI, Medical Corporation Family Medicine CurrentSince May 3, 2009 Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Memorial Medical Group Inc Past Accepting new patients
Assured Medical Group, Inc. Family Medicine PastSince Feb 16, 2020 Accepting new patients
Dignity Community Care Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Ahmc Garfield Medical Center LP Past Accepting new patients

Locations

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

5828 Temple City Blvd
Temple City, CA 91780
Phone (626) 285-1154

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317686400000",
    "number": "1023090867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1916",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917807916",
            "telephone_number": "626-285-1154",
            "fax_number": "626-285-1361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5828 TEMPLE CITY BLVD",
            "city": "TEMPLE CITY",
            "state": "CA",
            "postal_code": "917802112",
            "telephone_number": "626-285-1154",
            "fax_number": "626-285-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHI",
        "first_name": "PETER",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2011-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G77088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple City, CA

Sources for this page

Verify at the official NPI Registry.