Kenneth W. Chin, M.D., Incorporated

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

G29660 Issued in CA

Legal business name

KENNETH W. CHIN, M.D., INCORPORATED

Practice address

16311 Ventura Blvd
Suite120
Encino, CA 91436-2124

Phone

(818) 817-7707

Fax

(818) 817-7727

NPI assigned

Aug 5, 2006

Last updated

Sep 28, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth W Chin, M.D.NPI 1902888704

Title

Owner

Phone

(818) 705-0745

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth W Chin, MD

  • Vascular & Interventional Radiology Physician
  • Tarzana, CA
  • NPI 1902888704
  NPD (past) Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254096000000",
    "number": "1073522314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD",
            "address_2": "SUITE120",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362124",
            "telephone_number": "818-817-7707",
            "fax_number": "818-817-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16311 VENTURA BLVD",
            "address_2": "SUITE120",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362124",
            "telephone_number": "818-817-7707",
            "fax_number": "818-817-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH W. CHIN, M.D., INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2009-09-28",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-705-0745",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "G29660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G296600",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0106039",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G296600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colleen M Kelly
• Dalia Kenig
• Uri A Kenig, PH.D.
• Monique Iresha Kennedy
• Kenneth Scott, Psy.D., a Psychological Corporation
• Karen L. Kenney, PHD
• Michael M Keramati, DO, DDS
• Lilit Kerkian
• Claudia Yolande Kerns, PT CIIM
• Kesem Inc

• Vascular & Interventional Radiology Physician in Encino, CA
• Providers in Encino, CA by specialty
• Vascular & Interventional Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.