Organization Active NPI

Cynthia W Chao D O a Professional Corporation

  • Medical Specialty Clinic/Center
  • Los Alamitos, CA
National Provider Identifier
1073971412
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
20A7343 Issued in CA
Legal business name
CYNTHIA W CHAO D O A PROFESSIONAL CORPORATION
Practice address
10861 Cherry St Ste 109
Los Alamitos, CA 90720-5400
Phone
(562) 961-3137
NPI assigned
Jan 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Authorized official

Name
Cynthia W. ChaoNPI 1720077274
Title
Physician Owner
Phone
(562) 961-3137

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 20A7343 CA Primary

Addresses

Primary practice location

10861 Cherry St Ste 109
Los Alamitos, CA 90720-5400

Mailing address

PO Box 14467
Long Beach, CA 90853-4467
Phone (562) 208-6642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160623000250 CA Part B Supplier - Clinic/Group Practice 5991018004 Receives reassigned benefits from 1 practitioner
Practice locations: Los Alamitos, CA

National Provider Directory

National Provider Directory
Tax ID family
Cynthia W Chao D O a Professional Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757376000000",
    "number": "1073971412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14467",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908534467",
            "telephone_number": "562-208-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10861 CHERRY ST STE 109",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205400",
            "telephone_number": "562-961-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA W CHAO D O A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-31",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "CHAO",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "562-961-3137"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "20A7343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.