Individual provider Active NPI

Chirag Narayan Amin, M.D.

  • Orthopaedic Surgery Physician
  • Riverside, CA
National Provider Identifier
1093934374
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A72688 Issued in CA
Practice address
1485 Spruce St
Suite Q
Riverside, CA 92507-2445
Phone
(951) 680-0066
Fax
(951) 221-4441
NPI assigned
Apr 24, 2007
Last updated
Jan 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A72688 CA
Orthopaedic Surgery Physician 207X00000X A72688 CA Primary
General Practice Physician 208D00000X A72688 CA

Addresses

Primary practice location

1485 Spruce St
Suite Q
Riverside, CA 92507-2445

Mailing address

1485 Spruce St Ste Q
Riverside, CA 92507-7421
Phone (909) 208-5655

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
I20170130000708 CA Practitioner - Orthopedic SurgeryPractitioner - General Practice 4789965294 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
72688CAMDClinical Social Worker
A72688CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ca Physician Assistant Cooperative Healthcare, PC CurrentSince Sep 1, 2024 Accepting new patients
Southern California Physician Assistant Medical Group PC CurrentSince Sep 1, 2020 Accepting new patients

Locations

801 E Birch St
Calexico, CA 92231
Phone (619) 379-6579

645 Aerick St
Ste 3
Inglewood, CA 90301
Phone (310) 431-4926

5225 S J St
Oxnard, CA 93033
Phone (805) 488-3696

13547 Ventura Blvd
Sherman Oaks, CA 91423
Phone (818) 219-2902

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1093934374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 SPRUCE ST STE Q",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925077421",
            "telephone_number": "909-208-5655",
            "fax_number": "951-221-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 SPRUCE ST",
            "address_2": "SUITE Q",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072445",
            "telephone_number": "951-680-0066",
            "fax_number": "951-221-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "CHIRAG",
        "middle_name": "NARAYAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A72688",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A72688",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A72688",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.