Peter L. CHI, MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A53856 Issued in CA

Legal business name

PETER L. CHI, MD INC

Practice address

1770 N Tracy Blvd
Tracy, CA 95376-2431

Phone

(209) 834-8697

Fax

(209) 830-9390

NPI assigned

Feb 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Peter L CHI, MD

Title

Physician

Phone

(209) 834-8697

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1144356114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 N TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762431",
            "telephone_number": "209-834-8697",
            "fax_number": "209-830-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 N TRACY BLVD",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953762431",
            "telephone_number": "209-834-8697",
            "fax_number": "209-830-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER L. CHI, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "CHI",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "209-834-8697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A53856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A538560",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "040013402",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HILLS PHYSICIAN",
            "identifier": "038404",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelina Perez
• Celena-Estrella Perez
• Samantha Perez
• Zaira Perez
• Kelli Perry
• Jamie Peterson, LCSW
• Kristian Petite
• Amanda Pfeiffer
• Gurpreet Kaur Phagura
• Sunita Phaing

• Specialist in Tracy, CA
• Providers in Tracy, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.