Thida Min Chen, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP 17472 Issued in CA

Practice address

3341 Marble Ridge Dr
Chino Hills, CA 91709-1414

Phone

(626) 375-3805

NPI assigned

Feb 22, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Thida Min Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: thida.chen.p1@direct.jwch.nextgenshare.com

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1104095231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 MARBLE RIDGE DR",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091414",
            "telephone_number": "626-375-3805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 MARBLE RIDGE DR",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917091414",
            "telephone_number": "626-375-3805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "THIDA",
        "middle_name": "MIN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-22",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN 625978",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP 17472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THIDA",
            "last_name": "MIN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chaparral Medical Group, Inc.
• Amanda Joy Chapman, NP
• Mayra R Chavez
• Jack Chen, PHARMD
• Lisa L. Chen, D.D.S.
• Chun-Pin Cheng, M.D.
• Keng Chung Cheng
• Jesse Cheung, MD
• Marvin CHI
• Jia Chiang, AC

• Nurse Practitioner in Chino Hills, CA
• Providers in Chino Hills, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.