Active NPI
Wing Chin, M.D.
- Internal Medicine Physician
- Castro Valley, CA
National Provider Identifier
1124052576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C28239
- Practice address
- 20055 Lake Chabot Rd
#300
Castro Valley, CA 94546-5331 - Phone
- (510) 886-2311
- Fax
- (510) 886-9374
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C28239 | CA | Primary |
Addresses
Primary practice location
20055 Lake Chabot Rd
#300
Castro Valley, CA 94546-5331
Mailing address
PO Box 1145
Lafayette, CA 94549-1145
Phone (510) 886-2311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C29239 | Other | CA | STATE LICENCE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C28239 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wing Chin, M.D. | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Castro Valley, CA
- NPI 1730257338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1124052576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1145",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945491145",
"telephone_number": "510-886-2311",
"fax_number": "510-886-9374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20055 LAKE CHABOT RD",
"address_2": "#300",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945465331",
"telephone_number": "510-886-2311",
"fax_number": "510-886-9374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIN",
"first_name": "WING",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C28239",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENCE #",
"identifier": "C29239",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Castro Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.