Daniel C Chin, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9114405 Issued in FL

Practice address

1920 Don Wickham Dr
Clermont, FL 34711-1918

Phone

(352) 536-8761

Fax

(352) 843-2120

NPI assigned

Aug 17, 2015

Sex

Male

Sole proprietor

No

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 6, 2023.

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683331200000",
    "number": "1134595879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 DON WICKHAM DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111918",
            "telephone_number": "352-536-8761",
            "fax_number": "352-843-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 DON WICKHAM DR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347111918",
            "telephone_number": "352-536-8761",
            "fax_number": "352-843-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "DANIEL",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-17",
        "last_updated": "2023-05-06",
        "certification_date": "2023-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "018936",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9114405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Cheng, D.M.D.
• Kevin Cheung, PHARMD
• Anastasia Chieffallo
• Janet Patricia Chila, LMHC
• Children'S Healthcare of Central Florida, LLC
• Lisanne Marie Chiota, FNP
• Choice Meds USA, Inc.
• Shobashalini Chokkalingam, MD
• Choose Life Wellness Center, LLC
• Courtney Darcey Chrisler, MD

• All providers in Clermont, FL
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.