Active NPI
Shideh Chinichian, M.D.
- Family Medicine Physician
- El Dorado Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A138077
- Practice address
- 1264 Hawks Flight CT Ste 100
El Dorado Hills, CA 95762-9354 - Phone
- (916) 939-8400
- Fax
- (916) 939-8971
- NPI assigned
- Sep 14, 2015
- Last updated
- Aug 28, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A138077 | CA | Primary |
Addresses
Primary practice location
1264 Hawks Flight CT Ste 100
El Dorado Hills, CA 95762-9354
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3400 Data Dr
Rancho Cordova, CA 95670-7956
Hospital & facility affiliations
- Healing Touch Home Health Care Inc
- American River Home Care
- Mercy Home Health
- Mercy Hospital of Folsom
- Mercy General Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A138077 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
1264 Hawks Flight Ct
Ste 100
El Dorado Hills, CA 95762
Phone (916) 933-4222
3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726
3000 Q St
Sacramento, CA 95816
Phone (916) 733-5701
Organizations & group practices 6
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.
-
dba Mercy Medical Group, a service of Dignity Health Medical Foundation
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1700803418
-
dba Dignity Health Medical Group - North State, a service of Dignity Healt
- Multi-Specialty Clinic/Center
- Redding, CA
- NPI 1912288432
-
dba Methodist Hospital of Sacramento
- General Acute Care Hospital
- Sacramento, CA
- NPI 1467560599
-
dba Mercy San Juan Medical Center
- General Acute Care Hospital
- Carmichael, CA
- NPI 1972541498
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Sacramento, CA
- NPI 1811317811
-
- Home Health Agency
- Rancho Cordova, CA
- NPI 1962957720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503878400000",
"number": "1386012888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1264 HAWKS FLIGHT CT STE 100",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957629354",
"telephone_number": "916-939-8400",
"fax_number": "916-939-8971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINICHIAN",
"first_name": "SHIDEH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-14",
"last_updated": "2017-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A138077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Dorado Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; 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.
- 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.