Organization Active NPI

Cynthia W Chao D O a Professional Corporation

  • Obstetrics & Gynecology Physician
  • Los Alamitos, CA
National Provider Identifier
1164800488
Registry record updated Apr 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
CYNTHIA W CHAO D O A PROFESSIONAL CORPORATION
Practice address
10861 Cherry St Ste 109
Los Alamitos, CA 90720-5400
Phone
(562) 961-3137
Fax
(562) 961-3196
NPI assigned
May 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2024

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

Authorized official

Name
Miss Cynthia W Chao, D.O.
Title
Doctor
Phone
(562) 961-3137

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary
Preferred Provider Organization 305R00000X 20A7343 CA

Addresses

Primary practice location

10861 Cherry St Ste 109
Los Alamitos, CA 90720-5400

Mailing address

1540 W Averill Park Dr
San Pedro, CA 90732-3924
Phone (562) 208-6642

Other names 1

  • Cynthia W. Chao D O A Professional Corporation Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Cynthia W Chao D O a Professional Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1703 Termino Ave
Ste 203
Long Beach, CA 90804
Phone (562) 430-2103

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713571200000",
    "number": "1164800488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 W AVERILL PARK DR",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323924",
            "telephone_number": "562-208-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10861 CHERRY ST STE 109",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205400",
            "telephone_number": "562-961-3137",
            "fax_number": "562-961-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA W CHAO D O A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A",
        "authorized_official_last_name": "CHAO",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "562-961-3137",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "20A7343",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cynthia W. Chao D O A Professional Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; 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.