David D. CHI, M.D., F.a.C.S., a Medical Corp.

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

Legal business name

DAVID D. CHI, M.D., F.A.C.S., A MEDICAL CORP.

Practice address

555 Marin Street
Suite 210
Thousand Oaks, CA 91360-4105

Phone

(805) 497-7785

Fax

(805) 497-7728

NPI assigned

May 6, 2010

Organization subpart

No

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

Authorized official

Name

Dr. David D. CHI, M.D.NPI 1881746428

Title

Owner/President

Phone

(805) 497-7785

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Dae Kyu CHI, M.D.

  • Surgical Oncology Physician
  • Westlake Village, CA
  • NPI 1881746428

  Surgery

  Medicare reassignment NPD Authorized official
• Ashley Monica Gushulak, CRNA

  • Anesthesiology Physician
  • Colton, CA
  • NPI 1386387827
  NPD (past)

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1154649796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 MARIN STREET",
            "address_2": "SUITE 210",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604105",
            "telephone_number": "805-497-7785",
            "fax_number": "805-497-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 MARIN STREET",
            "address_2": "SUITE 210",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604105",
            "telephone_number": "805-497-7785",
            "fax_number": "805-497-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID D. CHI, M.D., F.A.C.S., A MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-06",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "CHI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "805-497-7785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G84570",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "G84570",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Patrick David
• Paul Thomas David, M.D.
• Isabella Davidson

• Surgical Oncology Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Surgical Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.