Individual provider Active NPI

Peter C Chiang, M. D.

  • Family Medicine Physician
  • Glendale, CA
National Provider Identifier
1316168792
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A66194 Issued in CA
Practice address
600 S Glendale Ave
Glendale, CA 91205-2316
Phone
(818) 502-2050
Fax
(818) 241-3575
NPI assigned
May 1, 2007
Last updated
Aug 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A66194 CA Primary

Addresses

Primary practice location

600 S Glendale Ave
Glendale, CA 91205-2316

Mailing address

600 S Glendale Ave
Glendale, CA 91205-2316
Phone (818) 502-2050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041008000705 CA Practitioner - Family Practice 3870552391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2750 Sycamore Dr
Simi Valley, CA 93065-1500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A66194CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Family Medicine Current Accepting new patients
Adventist Health Physicians Network CurrentSince Mar 1, 2015 Accepting new patients
Adventist Health Physicians Network CurrentSince Mar 1, 2015 Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Adventist Health Heart Institute-Ukiah Past Accepting new patients
Glendale Adventist Occupational Medicine Center Past Accepting new patients

Locations

1560 E Chevy Chase Dr
Ste 245
Glendale, CA 91206
Phone (818) 246-5900

544 N Glendale Ave
Glendale, CA 91206
Phone (818) 241-4331

544 N Glendale Ave
Ste A
Glendale, CA 91206
Phone (213) 442-1890

801 S Chevy Chase Dr
Ste 105
Glendale, CA 91205
Phone (818) 242-5299

1975 Verdugo Blvd
Ste A
La Canada Flintridge, CA 91011
Phone (747) 212-3441

1975 Verdugo Blvd
Ste B
La Canada Flintridge, CA 91011
Phone (818) 541-1134

301 Science Dr
Ste 150
Moorpark, CA 93021
Phone (805) 855-7000

124 Macaw Ln
Simi Valley, CA 93065
Phone (805) 306-0304

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1316168792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052316",
            "telephone_number": "818-502-2050",
            "fax_number": "818-241-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S GLENDALE AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912052316",
            "telephone_number": "818-502-2050",
            "fax_number": "818-241-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIANG",
        "first_name": "PETER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A66194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.