Active NPI
Tony Chin, OTR/L
- Occupational Therapist
- La Verne, CA
National Provider Identifier
1295586154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 26130
- Practice address
- 2705 Mountain View Dr
La Verne, CA 91750-4357 - Phone
- (909) 392-4111
- NPI assigned
- Mar 28, 2024
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 26130 | CA | Primary |
Addresses
Primary practice location
2705 Mountain View Dr
La Verne, CA 91750-4357
Mailing address
5460 Dobbs St Apt 87
Los Angeles, CA 90032-3588
Phone (323) 384-5493
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26130 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1295586154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5460 DOBBS ST APT 87",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900323588",
"telephone_number": "323-384-5493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2705 MOUNTAIN VIEW DR",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917504357",
"telephone_number": "909-392-4111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIN",
"first_name": "TONY",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-28",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "26130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Verne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.