Individual provider Active NPI

Chessa Kabiling

  • Child & Adolescent Psychiatric/Mental Health Registered Nurse
  • Los Alamitos, CA
National Provider Identifier
1487425807
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X
License
95044500 Issued in CA
Practice address
3664 Green Ave Apt 5
Los Alamitos, CA 90720-3228
Phone
(714) 458-5756
NPI assigned
Jan 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 95044500 CA
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 95044500 CA Primary

Addresses

Primary practice location

3664 Green Ave Apt 5
Los Alamitos, CA 90720-3228

Mailing address

3664 Green Ave Apt 5
Los Alamitos, CA 90720-3228
Phone (714) 458-5756

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250528002873 CA Practitioner - Nurse Practitioner 5890214217 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95044500CAMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medi Psych Services Inc CurrentSince Mar 16, 2025 Accepting new patients

Locations

4000 MacArthur Blvd
Newport Beach, CA 92660
Phone (949) 478-0109

15260 Ventura Blvd
Ste 1200
Sherman Oaks, CA 91403
Phone (310) 871-0670

Organizations & group practices 1

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": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1487425807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3664 GREEN AVE APT 5",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203228",
            "telephone_number": "714-458-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3664 GREEN AVE APT 5",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203228",
            "telephone_number": "714-458-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABILING",
        "first_name": "CHESSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95044500",
            "primary": false
        },
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "CA",
            "license": "95044500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.