Teena C China, AGACNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1060084 Issued in TX

Practice address

23119 W Interstate 10 BLDG 904
San Antonio, TX 78257-1764

Phone

(210) 573-1220

NPI assigned

Jan 28, 2022

Last updated

Jan 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tchina3077102@oc.providencedirect.org
• Direct secure messaging: teena.china.p1@direct.lakeside.nextgenshare.com

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.

• Lakeside Medical Organization, a Medical Group Inc.

  • Internal Medicine Physician
  • West Hills, CA
  • NPI 1831426642
  Medicare reassignment NPD

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

{
    "created_epoch": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1366195489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 CLOS DU BOIS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782534888",
            "telephone_number": "210-573-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23119 W INTERSTATE 10 BLDG 904",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571764",
            "telephone_number": "210-573-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINA",
        "first_name": "TEENA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "AGACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1060084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "000000000",
            "affiliation": "Y",
            "affiliationName": "Transitional Care Physicians PLLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "0009000",
            "address_1": "23119 W Interstate 10 Bldg 904",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782571767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gayle Leigh Chin, BCBA, LBA
• Karen De Leon Chin, M.D.
• Linda Marie Chin, RPH
• Vanessa Luzania Chin, CCP
• Xiaoyue O Chin
• Carol Ann Chincanchan, M.D.
• Iris Chinchay
• Eugenio Roberto Chinea, M.D.
• Chinese Health and Beauty Institute Inc
• Enoch Ching, CCP

• Acute Care Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.