Organization Active NPI

Visoth Chhiap, M.D. a Professional Corporation

  • Dermatology Physician
  • Morgan Hill, CA
National Provider Identifier
1336196708
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A66992 Issued in CA
Legal business name
VISOTH CHHIAP, M.D. A PROFESSIONAL CORPORATION
Practice address
18550 De Paul Drive
Suite 204
Morgan Hill, CA 95037-2911
Phone
(408) 779-1772
Fax
(408) 779-1050
NPI assigned
May 30, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Visoth Chhiap, M.D.NPI 1427005891
Title
President
Phone
(408) 779-1772

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X A66992 CA Primary

Addresses

Primary practice location

18550 De Paul Drive
Suite 204
Morgan Hill, CA 95037-2911

Mailing address

18550 De Paul Drive
Suite 204
Morgan Hill, CA 95037-2911
Phone (408) 779-1772

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050223000666 CA Part B Supplier - Clinic/Group Practice 3274586888 Receives reassigned benefits from 1 practitioner
Practice locations: Morgan Hill, CA

National Provider Directory

National Provider Directory

Locations

18550 De Paul Dr
Ste 109
Morgan Hill, CA 95037
Phone (408) 374-3303

18550 De Paul Dr
Ste 204
Morgan Hill, CA 95037
Phone (408) 779-1772

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336196708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18550 DE PAUL DRIVE",
            "address_2": "SUITE 204",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950372911",
            "telephone_number": "408-779-1772",
            "fax_number": "408-779-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18550 DE PAUL DRIVE",
            "address_2": "SUITE 204",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950372911",
            "telephone_number": "408-779-1772",
            "fax_number": "408-779-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISOTH CHHIAP, M.D. A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHHIAP",
        "authorized_official_first_name": "VISOTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-779-1772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A66992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.