Individual provider Active NPI

Sung Ho Chin, OTR/L

  • Occupational Therapist
  • Los Angeles, CA
National Provider Identifier
1285805002
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6757 Issued in CA
Practice address
903 Crenshaw Blvd
Ste 301
Los Angeles, CA 90019-1967
Phone
(626) 375-0855
NPI assigned
Mar 19, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 6757 CA Primary

Addresses

Primary practice location

903 Crenshaw Blvd
Ste 301
Los Angeles, CA 90019-1967

Mailing address

903 Crenshaw Blvd
Ste 301
Los Angeles, CA 90019-1967
Phone (626) 375-0855

Other names 1

  • Mr. Shane Sung Chin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081104000536 CA Practitioner - Occupational Therapist in Private Practice 8022177112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sung H Chin Therapeutic Adhc Services, IncGroup PAC ID 7012168883, 2 clinicians

Practice addresses (Care Compare)

266 S Harvard Blvd
Suite 330
Los Angeles, CA 90004-4373
Phone (323) 939-0840

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oc Life, Inc. Current Accepting new patients
Friendly Health, Inc. CurrentSince Nov 26, 2023 Accepting new patients
Sung H. Chin Therapeutic Adhc Services, Inc. Occupational Therapist CurrentSince Sep 3, 2012 Accepting new patients

Locations

266 S Harvard Blvd
Ste 330
Los Angeles, CA 90004
Phone (323) 939-0840

903 Crenshaw Blvd
Ste 301
Los Angeles, CA 90019
Phone (323) 938-6460

Organizations & group practices 3

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": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1285805002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 CRENSHAW BLVD",
            "address_2": "STE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191967",
            "telephone_number": "626-375-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 CRENSHAW BLVD",
            "address_2": "STE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900191967",
            "telephone_number": "626-375-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "SUNG",
        "middle_name": "HO",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-19",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "6757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANE",
            "last_name": "CHIN",
            "middle_name": "SUNG",
            "prefix": "MR.",
            "credential": "OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.