Nicholas Anthony Chinchilla, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

53982 Issued in CA

Practice address

139 N Magnolia Ave
El Cajon, CA 92020-3903

Phone

(858) 379-0380

NPI assigned

Apr 18, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• MDRS Spine & Sport, Inc

  • Physical Therapist
  • Temecula, CA
  • NPI 1689824203
  NPD (past)
• MDRS Spine & Sport, Inc

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1952394603
  NPD (past)

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1073309605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13465 CAMINO CANADA # 106-135",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920218813",
            "telephone_number": "925-642-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 N MAGNOLIA AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920203903",
            "telephone_number": "858-379-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINCHILLA",
        "first_name": "NICHOLAS",
        "middle_name": "ANTHONY",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "53982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mady Mei Pik Cheng
• Vijay Naidu Chennamchetty, MD, MPH
• Assil Chhina
• Jennifer Yeh Chiang, M.D.
• Stephanie Chin
• Melinda Sue Chiemi Chinen
• Nicholas Chisholm
• Janelle Lee Chiu, MFT
• Lok Hei Chiu
• Priscilla B Cho

• Physical Therapy Assistant in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.