Active NPI
Daryl H Chinn, M.D.
- Diagnostic Radiology Physician
- Sonoma, CA
National Provider Identifier
1427097286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G41514
- Practice address
- 347 Andrieux St
Sonoma, CA 95476-6811 - Phone
- (707) 935-5235
- Fax
- (415) 883-8082
- NPI assigned
- Jun 6, 2006
- Last updated
- Nov 10, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G41514 | CA | Primary |
Addresses
Primary practice location
347 Andrieux St
Sonoma, CA 95476-6811
Mailing address
PO Box 6102
Novato, CA 94948-6102
Phone (415) 884-3418
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00280852 | Other | RAILROAD MEDICARE | |
| 00G415140 | Medicaid | CA | |
| 00G415140 | Other | CA | BLUE SHIELD |
| 00G415141 | Other | CA | BLUE SHIELD OF CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| G41514 | CA | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1427097286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6102",
"city": "NOVATO",
"state": "CA",
"postal_code": "949486102",
"telephone_number": "415-884-3418",
"fax_number": "415-883-8082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "347 ANDRIEUX ST",
"city": "SONOMA",
"state": "CA",
"postal_code": "954766811",
"telephone_number": "707-935-5235",
"fax_number": "415-883-8082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINN",
"first_name": "DARYL",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G41514",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00280852",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G415140",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G415140",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "00G415141",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sonoma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.