Individual provider Active NPI

Chia Soo, MD

  • Plastic and Reconstructive Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1114959822
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
G80186 Issued in CA
Practice address
200 UCLA Medical PLZ
Suite 465
Los Angeles, CA 90095-6960
Phone
(310) 206-8499
Fax
(310) 206-4190
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X G80186 CA Primary

Addresses

Primary practice location

200 UCLA Medical PLZ
Suite 465
Los Angeles, CA 90095-6960

Mailing address

200 UCLA Medical PLZ
Suite 465
Los Angeles, CA 90095-6960
Phone (310) 206-8499

Other identifiers 2

IdentifierTypeStateIssuer
00G801860MedicaidCA
00G801860OtherCABLUE SHIELD PIN

Other names 1

  • Dr. Bessie Chia Soo Former name

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
I20040901000889 CA Practitioner - General PracticePractitioner - Plastic and Reconstructive Surgery 5395710362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Plastic and Reconstructive Surgery
Education
University of California, Geffen School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Regents of the University of CaliforniaGroup PAC ID 2264422070, 17 clinicians

Practice addresses (Care Compare)

200 UCLA Medical PLZ
Los Angeles, CA 90095-8344

Hospital & facility affiliations

  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262

Merit-based Incentive Payment System (MIPS)

Final score
79.08 of 100Reported as group
Quality
64.86
Promoting interoperability
100
Improvement activities
40
Cost
46.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue15
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80186CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Regents of the University of California CurrentSince Sep 17, 2012 Accepting new patients
UCLA Medical Group Past Accepting new patients
Usc Surgeons, Inc. Past Accepting new patients
Rancho Faculty Medical Associates, Inc. Past Accepting new patients

Locations

200 UCLA Medical Plz
Ste 460
Los Angeles, CA 90095
Phone (310) 825-5510

200 UCLA Medical Plz
Ste 465
Los Angeles, CA 90095
Phone (310) 825-5510

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 54206
Los Angeles, CA 90074

200 UCLA Medical Plz
Ste 526
Los Angeles, CA 90095
Phone (310) 206-6294

Interoperability endpoints

  • Direct secure messaging: bsoo48709@direct.uclahealth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421971200000",
    "number": "1114959822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 UCLA MEDICAL PLZ",
            "address_2": "SUITE 465",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900956960",
            "telephone_number": "310-206-8499",
            "fax_number": "310-206-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UCLA MEDICAL PLZ",
            "address_2": "SUITE 465",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900956960",
            "telephone_number": "310-206-8499",
            "fax_number": "310-206-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOO",
        "first_name": "CHIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2015-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "G80186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G801860",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "00G801860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BESSIE",
            "last_name": "SOO",
            "middle_name": "CHIA",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.