Comp Diabetes-Endocrine Med Assoc Inc

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

A30023 Issued in CA

Legal business name

COMP DIABETES-ENDOCRINE MED ASSOC INC

Practice address

1660 San Carlos Ave
San Carlos, CA 94070-2022

Phone

(650) 591-9933

Fax

(650) 591-9941

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Leila Chaychi, MDNPI 1558535203

Title

MD/Ao

Phone

(650) 591-9933

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 3

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

• Leila Chaychi, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • San Carlos, CA
  • NPI 1558535203
  Medicare reassignment Authorized official
• Kenneth W Burns, PT, CSCS

  • Orthopedic Physical Therapist
  • San Carlos, CA
  • NPI 1477524221
  NPD (past)
• Rose Shu-May Chao-Burns, P.T.

  • Physical Therapist
  • San Carlos, CA
  • NPI 1215055447
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1194750703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 SAN CARLOS AVE",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702022",
            "telephone_number": "650-591-9933",
            "fax_number": "650-591-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 SAN CARLOS AVE",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702022",
            "telephone_number": "650-591-9933",
            "fax_number": "650-591-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMP DIABETES-ENDOCRINE MED ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "CHAYCHI",
        "authorized_official_first_name": "LEILA",
        "authorized_official_title_or_position": "MD/AO",
        "authorized_official_telephone_number": "650-591-9933",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A30023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0094600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deanne Marie Clarke, MS, OTR/L
• Christina Claure
• Kaytha Clawson, MD
• Mariela Codina
• Victoria Colligan
• Courtney Michelle Connors
• Stanley Conte
• Angela B Cook, PTA
• Elise M Cook
• Hannah Shea Cooley

• Endocrinology, Diabetes & Metabolism Physician in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.