Jennifer Chinn

Primary specialty

OptometristTaxonomy code 152W00000X

License

15407 Issued in CA

Practice address

2811 University Ave
C
San Diego, CA 92104-2904

Phone

(619) 280-0664

NPI assigned

Aug 19, 2015

Sex

Female

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jennifer.chinn@uprisedirect.com

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.

• Jennifer K Chinn OD Apc

  dba Dr. Chinn's Vision Care

  • Optometrist
  • San Diego, CA
  • NPI 1588401822
  Medicare reassignment NPD Authorized official
• Dr. Jennifer Chinn OD Apc

  • Optometrist
  • San Diego, CA
  • NPI 1427912005
  NPD Authorized official
• Stephen Chinn

  • Optometrist
  • San Diego, CA
  • NPI 1912976291
  Medicare reassignment
• Dr. E M Roberts Practice of Optometry PC

  • Optometrist
  • Camp Pendleton, CA
  • NPI 1649436981
  NPD (past)
• Stephen Chinn OD a Professional Corperation Dba As Stephen Chinn OD

  dba Stephen Chinn OD

  • Preferred Provider Organization
  • San Diego, CA
  • NPI 1881901932
  NPD (past)

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1073989471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9256",
            "city": "RANCHO SANTA FE",
            "state": "CA",
            "postal_code": "920674256",
            "telephone_number": "858-525-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 UNIVERSITY AVE",
            "address_2": "C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921042904",
            "telephone_number": "619-280-0664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINN",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-19",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Ching, DO
• Kam Y Ching, LCSW
• Kristine Ching, MS., OTRL
• Bex Chinisie
• Derek Bryan Chinn, DO
• Katie Cho Chinn, DO
• Patricia Erin Chinn, PHARM.D.
• Raymond Chinn, M.D.
• Stephen Chinn
• Jocelyn D. Chintala, CFNP

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.