CHI Dermatology Inc a Professional Corporation

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CHI DERMATOLOGY INC A PROFESSIONAL CORPORATION

Practice address

120 La Casa Via Ste 106-107
Walnut Creek, CA 94598-3067

Phone

(941) 315-1099

NPI assigned

May 31, 2023

Organization subpart

No

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

Authorized official

Name

Ogechi Ikediobi, MD, PHDNPI 1639448269

Title

Owner

Phone

(941) 315-1099

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Ogechi Ikediobi, MD, PHD

  • Dermatology Physician
  • San Diego, CA
  • NPI 1639448269
  Medicare reassignment NPD Authorized official
• Patricia Yang

  • Physician Assistant
  • Walnut Creek, CA
  • NPI 1326802935
  Medicare reassignment NPD

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685577600000",
    "number": "1275226789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LA CASA VIA STE 106-107",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983067",
            "telephone_number": "941-315-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 LA CASA VIA STE 106-107",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983067",
            "telephone_number": "941-315-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHI DERMATOLOGY INC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A",
        "authorized_official_last_name": "IKEDIOBI",
        "authorized_official_first_name": "OGECHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-315-1099",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Meredith Cheung, PHARM.D.
• Nathan Cheung
• Robert Yiu-Tsang Cheung, O.D.
• Brijet Chew-Hampton, LVN
• Bela V Chheda, M.D.
• Sylvia L. CHI-Wu, MD
• Angela Chiang, MD
• Victoria Chigbu
• Danica Childers
• Aaron Brandon Chin, M.D.

• Dermatology Physician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; 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.