Kenneth P Chin, M.D.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Practice address

555 Clyde Ave
Suite 120
Mountain View, CA 94043-2269

Phone

(650) 988-6818

NPI assigned

Nov 5, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1306190806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 CLYDE AVE",
            "address_2": "SUITE 120",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940432269",
            "telephone_number": "650-988-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 CLYDE AVE",
            "address_2": "SUITE 120",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940432269",
            "telephone_number": "650-988-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "KENNETH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-05",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rashmi Chidanand, PHD
• Tiffany Chien
• Jonathan Matthew Chih, PHARMD
• Christopher Chin, MD
• Jocelyn Chin
• Lawrence Chin, M.D.
• Matthew T Chin
• Michael Eric Chin, OD
• Brent P Chinn, O.D.
• Michael Liang-Kai Chiou, M.D.

• Primary Care Clinic/Center in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.