Active NPI
Caryn Chin Chao, N.P.
- Gerontology Nurse Practitioner
- Cerritos, CA
National Provider Identifier
1023242336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 17998
- Practice address
- 12900 Park Plaza Dr Ste 150
Cerritos, CA 90703-9329 - Phone
- (866) 646-3553
- Fax
- (562) 622-2803
- NPI assigned
- May 14, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 17998 | CA | Primary |
Addresses
Primary practice location
12900 Park Plaza Dr Ste 150
Cerritos, CA 90703-9329
Mailing address
12900 Park Plaza Dr.,
#150
Cerritos, CA 90703
Phone (866) 646-3553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17998 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242259200000",
"number": "1023242336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12900 PARK PLAZA DR.,",
"address_2": "#150",
"city": "CERRITOS",
"state": "CA",
"postal_code": "90703",
"telephone_number": "866-646-3553",
"fax_number": "562-622-2803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12900 PARK PLAZA DR STE 150",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907039329",
"telephone_number": "866-646-3553",
"fax_number": "562-622-2803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAO",
"first_name": "CARYN",
"middle_name": "CHIN",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-14",
"last_updated": "2009-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CA",
"license": "17998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.