Individual provider Active NPI

Chin Tang, DO

  • Psychiatry Physician
  • Long Beach, CA
National Provider Identifier
1023245198
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
821 Issued in CA
Practice address
412 Termino Ave
Mental Health Associates of Long Beach
Long Beach, CA 90814-1764
Phone
(562) 987-0665
NPI assigned
Jun 16, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 821 CA Primary
General Practice Physician 208D00000X A2010730 CA

Addresses

Primary practice location

412 Termino Ave
Mental Health Associates of Long Beach
Long Beach, CA 90814-1764

Mailing address

412 Termino Ave
Mental Health Associates of Long Beach
Long Beach, CA 90814-1764
Phone (562) 987-0665

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
I20170915001825 CA Practitioner - Psychiatry 3577837491 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10730CAMDAcupuncturist
821CAMDPsychiatry Physician
A2010730CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Psychiatry PC Psychiatry Current Accepting new patients
Department of State Hospitals Current Accepting new patients
Cep America - Psychiatry PC Psychiatry CurrentSince Sep 10, 2019 Accepting new patients
Department of State Hospitals CurrentSince Jul 19, 2017 Accepting new patients
Cep America - Psychiatry PC Psychiatry CurrentSince Sep 10, 2019 Accepting new patients
Department of State Hospitals CurrentSince Jul 19, 2017 Accepting new patients

Locations

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

3102 E Highland Ave
Patton, CA 92369
Phone (909) 425-7000

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

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": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1023245198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 TERMINO AVE",
            "address_2": "MENTAL HEALTH ASSOCIATES OF LONG BEACH",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908141764",
            "telephone_number": "562-987-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 TERMINO AVE",
            "address_2": "MENTAL HEALTH ASSOCIATES OF LONG BEACH",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908141764",
            "telephone_number": "562-987-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "CHIN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-16",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "821",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A2010730",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.