Individual provider Active NPI

CHI K Co, M.D.

  • Pediatrics Physician
  • South San Francisco, CA
National Provider Identifier
1346375763
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
00A493110 Issued in CA
Practice address
161 S Spruce Ave
Suite 205
South San Francisco, CA 94080-4517
Phone
(650) 808-9858
Fax
(650) 808-9868
NPI assigned
Feb 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 00A493110 CA Primary

Addresses

Primary practice location

161 S Spruce Ave
Suite 205
South San Francisco, CA 94080-4517

Mailing address

161 S Spruce Ave
Suite 205
South San Francisco, CA 94080-4517
Phone (650) 808-9858

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00A493110CAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1346375763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 S SPRUCE AVE",
            "address_2": "SUITE 205",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940804517",
            "telephone_number": "650-808-9858",
            "fax_number": "650-808-9868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 S SPRUCE AVE",
            "address_2": "SUITE 205",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940804517",
            "telephone_number": "650-808-9858",
            "fax_number": "650-808-9868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CO",
        "first_name": "CHI",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "00A493110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.