Individual provider Active NPI

Christopher Chin, M.D.

  • Psychiatry Physician
  • Newport Beach, CA
National Provider Identifier
1437545241
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A169061 Issued in CA
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

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201224000332 CA Practitioner - Psychiatry 2567874134 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
A169061CAMDPsychiatry Physician
298164NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Health Solutions a Professional Medical Corporation Psychiatry CurrentSince Jan 4, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.