Active NPI
Peter L CHI, M.D.
- Specialist
- Tracy, CA
National Provider Identifier
1215988092
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(2) exclusion effective Mar 20, 2012.
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A53856
- Practice address
- 1770 N Tracy Blvd
Tracy, CA 95376-2431 - Phone
- (209) 834-8697
- Fax
- (209) 830-9390
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A53856 | CA | Primary |
Addresses
Primary practice location
1770 N Tracy Blvd
Tracy, CA 95376-2431
Mailing address
PO Box 424
Tracy, CA 95378-0424
Phone (209) 834-8697
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038404 | Other | CA | HILLS PHYSICIAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A53856 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215988092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 424",
"city": "TRACY",
"state": "CA",
"postal_code": "953780424",
"telephone_number": "209-834-8697",
"fax_number": "209-830-9390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1770 N TRACY BLVD",
"city": "TRACY",
"state": "CA",
"postal_code": "953762431",
"telephone_number": "209-834-8697",
"fax_number": "209-830-9390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHI",
"first_name": "PETER",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A53856",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HILLS PHYSICIAN",
"identifier": "038404",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.