Active NPI
Christopher Chin, M.D.
- Psychiatry Physician
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A169061
- Practice address
- 4100 Newport PL
Suite 730
Newport Beach, CA 92660-9266 - Phone
- (844) 867-8444
- Fax
- (714) 705-6411
- NPI assigned
- Apr 8, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 298164 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | A169061 | CA | Primary |
Addresses
Primary practice location
4100 Newport PL
Suite 730
Newport Beach, CA 92660-9266
Mailing address
4100 Newport Place Dr Ste 730
Newport Beach, CA 92660-1411
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4100 Newport Place Dr
Suite 730
Newport Beach, CA 92660-1411
Phone (714) 705-6411
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A169061 | CA | MD | Psychiatry Physician |
| 298164 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Health Solutions a Professional Medical Corporation | Psychiatry | Current | Accepting new patients |
| Teladoc Health Medical Group, P.a. | Psychiatry | Current | Accepting new patients |
Locations
1860 El Camino Real
Ste 250
Burlingame, CA 94010
Phone (650) 449-8718
1503 S Coast Dr
Ste 111
Costa Mesa, CA 92626
Phone (714) 206-6868
1020 Suncast Ln
Ste 108
El Dorado Hills, CA 95762
Phone (916) 932-0380
1261 Travis Blvd
Ste 190
Fairfield, CA 94533
Phone (707) 427-5020
12301 Wilshire Blvd
Ste 415
Los Angeles, CA 90025
5455 Wilshire Blvd
Ste 903
Los Angeles, CA 90036
Phone (628) 244-4364
4100 Newport Place Dr
Ste 730
Newport Beach, CA 92660
Phone (714) 705-6411
3300 Webster St
Ste 402
Oakland, CA 94609
Phone (510) 451-6020
3300 Webster St
Ste 803
Oakland, CA 94609
8775 Sierra College Blvd
Ste 200
Roseville, CA 95661
Phone (916) 294-7062
7700 Folsom Blvd
Sacramento, CA 95826
Phone (916) 386-3000
350 University Ave
Ste 101
Sacramento, CA 95825
Phone (866) 788-5241
360 Post St
Ste 500
San Francisco, CA 94108
Phone (415) 671-6819
350 Parnassus Ave
Ste 201
San Francisco, CA 94117
Phone (415) 964-5137
361 3rd St
Ste A
San Rafael, CA 94901
Phone (415) 612-1908
1111 W Robinhood Dr
Ste L
Stockton, CA 95207
Phone (209) 952-0821
12301 Wilshire Blvd
Ste 210
West Los Angeles, CA 90025
Phone (310) 204-1950
Interoperability endpoints
- christopherchin@tdh.allscriptsdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- San Francisco, CA
- NPI 1881894483
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Psychiatry
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1437545241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 NEWPORT PLACE DR STE 730",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926601411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 NEWPORT PL",
"address_2": "SUITE 730",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926609266",
"telephone_number": "844-867-8444",
"fax_number": "714-705-6411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIN",
"first_name": "CHRISTOPHER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-08",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "298164",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A169061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.