Active NPI
Chieko Otomo, PHARM.D.
- Oncology Pharmacist
- San Diego, CA
National Provider Identifier
1073899472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oncology Pharmacist
- License
- 62510
- Practice address
- 4647 Zion Ave
Oncology Pharmacy Room 4825
San Diego, CA 92120 - Phone
- (619) 528-5168
- NPI assigned
- Oct 30, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Pharmacist | 1835X0200X | 055077 | NY | |
| Oncology Pharmacist | 1835X0200X | 62510 | CA | Primary |
Addresses
Primary practice location
4647 Zion Ave
Oncology Pharmacy Room 4825
San Diego, CA 92120
Mailing address
4647 Zion Ave
Oncology Pharmacy Room 4825
San Diego, CA 92120
Phone (619) 528-5168
Other names 1
- Chieko Otomo Hein
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62510 | CA | MD | Oncology Pharmacist |
| 055077 | NY | MD | Oncology Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652227200000",
"number": "1073899472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4647 ZION AVE",
"address_2": "ONCOLOGY PHARMACY ROOM 4825",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92120",
"telephone_number": "619-528-5168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4647 ZION AVE",
"address_2": "ONCOLOGY PHARMACY ROOM 4825",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92120",
"telephone_number": "619-528-5168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTOMO",
"first_name": "CHIEKO",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-30",
"last_updated": "2022-05-11",
"certification_date": "2022-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "NY",
"license": "055077",
"primary": false
},
{
"code": "1835X0200X",
"taxonomy_group": "",
"desc": "Pharmacist, Oncology",
"state": "CA",
"license": "62510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHIEKO",
"last_name": "HEIN",
"middle_name": "OTOMO",
"credential": "PHARM.D",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.