Organization Active NPI

Shigeru Chino, M.D., Inc.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Laguna Niguel, CA
National Provider Identifier
1194084798
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
A21671 Issued in CA
Legal business name
SHIGERU CHINO, M.D., INC.
Practice address
27601 Forbes Rd
Suite 58
Laguna Niguel, CA 92677-1201
Phone
(949) 348-0459
Fax
(949) 348-9314
NPI assigned
May 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

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

Authorized official

Name
Shigeru Chino, M.D.NPI 1982604781
Title
President
Phone
(949) 348-0459

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208G00000X A21671 CA Primary

Addresses

Primary practice location

27601 Forbes Rd
Suite 58
Laguna Niguel, CA 92677-1201

Mailing address

27601 Forbes Rd
Suite 58
Laguna Niguel, CA 92677-1201
Phone (949) 348-0459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120522000799 CA Part B Supplier - Clinic/Group Practice 0941463384 Receives reassigned benefits from 1 practitioner
Practice locations: Laguna Niguel, CA

National Provider Directory

National Provider Directory

Locations

27601 Forbes Rd
Ste 58
Laguna Niguel, CA 92677
Phone (949) 348-0459

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1194084798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27601 FORBES RD",
            "address_2": "SUITE 58",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771201",
            "telephone_number": "949-348-0459",
            "fax_number": "949-348-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27601 FORBES RD",
            "address_2": "SUITE 58",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771201",
            "telephone_number": "949-348-0459",
            "fax_number": "949-348-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIGERU CHINO, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "CHINO",
        "authorized_official_first_name": "SHIGERU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-348-0459",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A21671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.