Active NPI
Kristine Chien
- Physician Assistant
- Los Angeles, CA
National Provider Identifier
1386310613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA61958
- Practice address
- 767 N Hill St Ste 200
Los Angeles, CA 90012-2365 - Phone
- (213) 808-1700
- NPI assigned
- Aug 17, 2021
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA61958 | CA | Primary |
Addresses
Primary practice location
767 N Hill St Ste 200
Los Angeles, CA 90012-2365
Mailing address
13225 Larkfield CT
San Diego, CA 92130-1508
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231009001099 | CA | Order and Referring Only - Physician Assistant | 0244685469 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61958 | CA | MD | Pharmacist |
| PA61958 | CA | MD | Physician Assistant |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- kristine.chien.p1@direct.cscla.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1386310613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13225 LARKFIELD CT",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921301508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "767 N HILL ST STE 200",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900122365",
"telephone_number": "213-808-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIEN",
"first_name": "KRISTINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-17",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA61958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.