Organization Active NPI

Annie Chiu MD, Inc

Doing business as The Derm Institute

  • Dermatology Physician
  • Redondo Beach, CA
National Provider Identifier
1093059610
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ANNIE CHIU MD, INC
Doing business as
The Derm Institute
Practice address
1636 Aviation Blvd
Suite 201
Redondo Beach, CA 90278-2851
Phone
(310) 939-9800
Fax
(310) 939-9888
NPI assigned
Nov 20, 2012
Last updated
Feb 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Authorized official

Name
Annie Chiu, MDNPI 1689886129
Title
Owner
Phone
(310) 939-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary

Addresses

Primary practice location

1636 Aviation Blvd
Suite 201
Redondo Beach, CA 90278-2851

Mailing address

1636 Aviation Blvd
Suite 201
Redondo Beach, CA 90278-2851
Phone (310) 939-9800

Other names 1

  • The Derm Institute Doing business as

National Provider Directory

National Provider Directory

Locations

1636 Aviation Blvd
#201
Redondo Beach, CA 90278
Phone (310) 939-9800

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1093059610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 AVIATION BLVD",
            "address_2": "SUITE 201",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782851",
            "telephone_number": "310-939-9800",
            "fax_number": "310-939-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 AVIATION BLVD",
            "address_2": "SUITE 201",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902782851",
            "telephone_number": "310-939-9800",
            "fax_number": "310-939-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNIE CHIU MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "CHIU",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-939-9800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Derm Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Derm Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.