Active NPI
Amanda Chin, NP
- Nurse Practitioner
- Newport Beach, CA
National Provider Identifier
1528525458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95025128
- Practice address
- 2071 San Joaquin Hills Rd
Newport Beach, CA 92660-6505 - Phone
- (949) 759-7120
- NPI assigned
- Feb 27, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95025128 | CA | Primary |
Addresses
Primary practice location
2071 San Joaquin Hills Rd
Newport Beach, CA 92660-6505
Mailing address
24422 Avenida de la Carlota Ste 300
Laguna Hills, CA 92653-3628
Phone (949) 599-2434
Other practice location 1
650 Howe Ave Ste 100
Sacramento, CA 95825-4732
Phone (916) 924-9337
Other practice location 2
15525 Pomerado Rd Ste B1
Poway, CA 92064-2425
Phone (858) 487-8333
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
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95025128 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Kids, a Professional Medical Corporation | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- china@somc.gwaydirect.com
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.
-
- Pediatrics Physician
- Newport Beach, CA
- NPI 1740311737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770163200000",
"number": "1528525458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24422 AVENIDA DE LA CARLOTA STE 300",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533628",
"telephone_number": "949-599-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2071 SAN JOAQUIN HILLS RD",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926606505",
"telephone_number": "949-759-7120"
}
],
"practiceLocations": [
{
"address_1": "650 Howe Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958254732",
"country_code": "US",
"telephone_number": "916-924-9337",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15525 Pomerado Rd Ste B1",
"address_purpose": "LOCATION",
"city": "Poway",
"state": "CA",
"postal_code": "920642425",
"country_code": "US",
"telephone_number": "858-487-8333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIN",
"first_name": "AMANDA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-27",
"last_updated": "2026-02-04",
"certification_date": "2026-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95025128",
"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 Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.