Individual provider Active NPI

Allen Chinpin Chou, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Garden Grove, CA
National Provider Identifier
1215919915
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
A36505 Issued in CA
Practice address
12665 Garden Grove Blvd
Suite 502-B
Garden Grove, CA 92843-1901
Phone
(714) 534-2222
Fax
(714) 534-0818
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A36505 CA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A36505 CA Primary

Addresses

Primary practice location

12665 Garden Grove Blvd
Suite 502-B
Garden Grove, CA 92843-1901

Mailing address

12665 Garden Grove Blvd
Suite 502-B
Garden Grove, CA 92843-1901
Phone (714) 534-2222

Other identifiers 1

IdentifierTypeStateIssuer
00A365050MedicaidCA

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
I20101104001016 CA Practitioner - Internal MedicinePractitioner - General SurgeryPractitioner - Geriatric Medicine 5294759411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: General Surgery
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pathway Medical Group IncGroup PAC ID 5092776690, 17 clinicians

Practice addresses (Care Compare)

7955 Westminster Blvd
Westminster, CA 92683-4001
Phone (714) 379-3221

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pathway Medical Group, Inc Current Accepting new patients
Pathway Medical Group, Inc Internal Medicine CurrentSince Jun 8, 2011 Accepting new patients
Pathway Medical Group, Inc. Internal Medicine CurrentSince Jun 8, 2011 Accepting new patients
South Coast Global Medical Center, Inc Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
St. Joseph Hospital Past Accepting new patients
Geridocs Medical Group,Inc Geriatric Medicine PastSince Sep 1, 2006 Accepting new patients
Providence Medical Foundation Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients

Locations

12665 Garden Grove Blvd
Ste 502A
Garden Grove, CA 92843
Phone (714) 534-3900

12665 Garden Grove Blvd
Ste 502
Garden Grove, CA 92843
Phone (714) 534-3900

12665 Garden Grove Blvd
Ste 502AB
Garden Grove, CA 92843
Phone (714) 537-7800

2621 S Bristol St
Ste 203
Santa Ana, CA 92704
Phone (714) 662-2256

7955 Westminster Blvd
Westminster, CA 92683
Phone (714) 379-2411

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1215919915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12665 GARDEN GROVE BLVD",
            "address_2": "SUITE 502-B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431901",
            "telephone_number": "714-534-2222",
            "fax_number": "714-534-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12665 GARDEN GROVE BLVD",
            "address_2": "SUITE 502-B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431901",
            "telephone_number": "714-534-2222",
            "fax_number": "714-534-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOU",
        "first_name": "ALLEN",
        "middle_name": "CHINPIN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A36505",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A36505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A365050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.