Organization Active NPI

Chinn and Chinn Urology Medical

  • Urology Physician
  • Arcardia, CA
National Provider Identifier
1114988052
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
CHINN AND CHINN UROLOGY MEDICAL
Practice address
65 No First Avenue
Suite 102
Arcardia, CA 91006-3251
Phone
(626) 574-7111
Fax
(626) 574-5157
NPI assigned
Mar 30, 2006
Last updated
Nov 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Douglas O Chinn, MDNPI 1386605194
Title
MD
Phone
(626) 574-7111

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
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

65 No First Avenue
Suite 102
Arcardia, CA 91006-3251

Mailing address

65 No First Avenue
Suite 102
Arcardia, CA 91006-3251
Phone (626) 574-7111

National Provider Directory

National Provider Directory

Locations

65 N 1st Ave
Ste 102
Arcadia, CA 91006
Phone (626) 447-5339

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": "1143676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1114988052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 NO FIRST AVENUE",
            "address_2": "SUITE 102",
            "city": "ARCARDIA",
            "state": "CA",
            "postal_code": "910063251",
            "telephone_number": "626-574-7111",
            "fax_number": "626-574-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 NO FIRST AVENUE",
            "address_2": "SUITE 102",
            "city": "ARCARDIA",
            "state": "CA",
            "postal_code": "910063251",
            "telephone_number": "626-574-7111",
            "fax_number": "626-574-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHINN AND CHINN UROLOGY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-30",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "CHINN",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "626-574-7111",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcardia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.