Individual provider Active NPI

Chau Ton-That, D.O.

  • Psychiatry Physician
  • Westminster, CA
National Provider Identifier
1205902301
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A7177 Issued in CA
Practice address
9533 Bolsa Ave
Westminster, CA 92683-5904
Phone
(714) 531-8720
Fax
(714) 531-5794
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20A7177 CA Primary

Addresses

Primary practice location

9533 Bolsa Ave
Westminster, CA 92683-5904

Mailing address

4131 Costero Risco
San Clemente, CA 92673-6408
Phone (949) 699-3445

Other practice location 1

6B Liberty
Suite 115
Aliso Viejo, CA 92656-5832
Phone (949) 699-3445

Other identifiers 1

IdentifierTypeStateIssuer
00AX71770MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040623000658 CA Practitioner - Psychiatry 3072598085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
College of Osteo Med of the Pacific at Pomona, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6 B Liberty
Suite 115
Aliso Viejo, CA 92656-5833
Phone (949) 699-3445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A7177CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chau Ton-That,D.O.,Inc. Psychiatry CurrentSince Jul 7, 2007 Accepting new patients

Locations

6B Liberty
Ste 115
Aliso Viejo, CA 92656
Phone (949) 472-0226

9533 Bolsa Ave
Westminster, CA 92683
Phone (714) 531-8720

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1205902301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 COSTERO RISCO",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736408",
            "telephone_number": "949-699-3445",
            "fax_number": "949-218-8173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9533 BOLSA AVE",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835904",
            "telephone_number": "714-531-8720",
            "fax_number": "714-531-5794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6B Liberty",
            "address_2": "Suite 115",
            "address_purpose": "LOCATION",
            "city": "Aliso Viejo",
            "state": "CA",
            "postal_code": "926565832",
            "country_code": "US",
            "telephone_number": "949-699-3445",
            "fax_number": "949-218-8173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TON-THAT",
        "first_name": "CHAU",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A7177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX71770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

Verify at the official NPI Registry.