Jennifer Yeh Chiang, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A120528 Issued in CA

Practice address

292 Avocado Ave
El Cajon, CA 92020-4604

Phone

(619) 579-5115

Fax

(619) 749-6174

NPI assigned

Jan 18, 2011

Last updated

Feb 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

William F Resh MD Skin and Skin Cancer Medical Group of San Diego IncGroup PAC ID 4082601935, 18 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• William F Resh MD, Skin & Skin Cancer Medical Group of San Diego, Inc.

  dba San Diego Family Dermatology

  • Specialist
  • National City, CA
  • NPI 1790973162

  Dermatology

  Medicare reassignment Care Compare group NPD
• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1659312593

  Dermatology

  Medicare reassignment NPD
• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Durable Medical Equipment & Medical Supplies
  • Murrieta, CA
  • NPI 1760057269
  NPD
• Healthcare Partners Affiliates Medical Group

  dba Optum

  • Addiction Medicine (Internal Medicine) Physician
  • Tustin, CA
  • NPI 1891981502
  NPD
• William F Resh M.D. Skin & Skin Cancer Medical Group of San Diego, Inc

  dba San Diego Family Dermatology

  • Dermatology Physician
  • San Diego, CA
  • NPI 1831938232
  NPD
• William F Resh M.D. Skin & Skin Cancer Medical Group of San Diego, Inc

  • Dermatology Physician
  • El Cajon, CA
  • NPI 1912186917
  NPD
• Jacqueline Brogan MD

  • Dermatology Physician
  • Coronado, CA
  • NPI 1326603028
  NPD (past)
• Pasadena Hospital Association, LTD.

  dba Huntington Hospital

  • Psychiatric Hospital Unit
  • Pasadena, CA
  • NPI 1437121142
  NPD (past)
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Memorial Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Phoenix, AZ
  • NPI 1255523643
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1457656738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 AVOCADO AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204604",
            "telephone_number": "619-579-5115",
            "fax_number": "619-749-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 AVOCADO AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920204604",
            "telephone_number": "619-579-5115",
            "fax_number": "619-749-6174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 Euclid Ave Ste 401",
            "address_purpose": "LOCATION",
            "city": "National City",
            "state": "CA",
            "postal_code": "919502978",
            "country_code": "US",
            "telephone_number": "619-267-8303",
            "fax_number": "619-267-4835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIANG",
        "first_name": "JENNIFER",
        "middle_name": "YEH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-18",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A120528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabelle Chen
• Yang Chen
• Ying-Ju Anna Chen, O.D.
• Vijay Naidu Chennamchetty, MD, MPH
• Assil Chhina
• Stephanie Chin
• Nicholas Anthony Chinchilla, PTA
• Melinda Sue Chiemi Chinen
• Nicholas Chisholm
• Janelle Lee Chiu, MFT

• Dermatology Physician in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.

Verify at the official NPI Registry.