Individual provider Active NPI

Michael L Chin, MD

  • Cardiovascular Disease Physician
  • Marysville, CA
National Provider Identifier
1083680466
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G41895 Issued in CA
Practice address
414 G St
Suite 208
Marysville, CA 95901-5669
Phone
(530) 741-1122
Fax
(530) 741-1155
NPI assigned
Feb 27, 2006
Last updated
Dec 18, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G41895 CA Primary

Addresses

Primary practice location

414 G St
Suite 208
Marysville, CA 95901-5669

Mailing address

414 G St
Suite 208
Marysville, CA 95901-5669
Phone (530) 741-1122

Other identifiers 4

IdentifierTypeStateIssuer
00G418950OtherCAMEDICARE PTAN - FEATHER RIVER CARDIOLOGY
05D0968904OtherCACLIA FEDERAL ID#
1083680466MedicaidCA
00G418950OtherCABLUE SHIELD PIN #

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080516000211 CA Practitioner - Cardiovascular Disease (Cardiology) 6709823651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Tufts University School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

414 G St
Suite 208
Marysville, CA 95901-5669
Phone (530) 741-1122

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Aug 4, 2019 Accepting new patients
Adventist Health Physicians Network CurrentSince Aug 4, 2019 Accepting new patients
Sutter North Medical Foundatoin Past Accepting new patients

Locations

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

414 G St
Ste 208
Marysville, CA 95901
Phone (530) 741-1122

1007 Live Oak Blvd
Ste B2
Yuba City, CA 95991
Phone (530) 671-8718

1531 Plumas Ct
Ste B
Yuba City, CA 95991
Phone (530) 674-2434

481 Plumas Blvd
Ste 104
Yuba City, CA 95991
Phone (530) 674-2434

481 Plumas Blvd
Ste 201
Yuba City, CA 95991
Phone (530) 634-9988

481 Plumas Blvd
Ste 202
Yuba City, CA 95991
Phone (530) 674-2851

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1083680466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 G ST",
            "address_2": "SUITE 208",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015669",
            "telephone_number": "530-741-1122",
            "fax_number": "530-741-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 G ST",
            "address_2": "SUITE 208",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015669",
            "telephone_number": "530-741-1122",
            "fax_number": "530-741-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G41895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN - FEATHER RIVER CARDIOLOGY",
            "identifier": "00G418950",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA FEDERAL ID#",
            "identifier": "05D0968904",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083680466",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN #",
            "identifier": "00G418950",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, CA

Sources for this page

Verify at the official NPI Registry.