Individual provider Active NPI

Perrin Christian Chee, D.C.

  • Chiropractor
  • Lake Forest, CA
National Provider Identifier
1336368216
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30290 Issued in CA
Practice address
20671 Lake Forest Dr Ste B102
Lake Forest, CA 92630-7746
Phone
(949) 587-9990
Fax
(949) 587-0485
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC30290 CA Primary

Addresses

Primary practice location

20671 Lake Forest Dr Ste B102
Lake Forest, CA 92630-7746

Mailing address

20671 Lake Forest Dr
Ste B-102
Lake Forest, CA 92630-7746
Phone (949) 587-9990

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080505000286 CA Practitioner - Chiropractic 9436238367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

25691 Atlantic Ocean Dr
Suite B11
Lake Forest, CA 92630-8839
Phone (949) 587-9990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC30290CAMDChiropractor

Organizations & group practices 1

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238976000000",
    "number": "1336368216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20671 LAKE FOREST DR",
            "address_2": "STE B-102",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926307746",
            "telephone_number": "949-587-9990",
            "fax_number": "949-587-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20671 LAKE FOREST DR STE B102",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926307746",
            "telephone_number": "949-587-9990",
            "fax_number": "949-587-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEE",
        "first_name": "PERRIN",
        "middle_name": "CHRISTIAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2009-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.