NPIMap

Organization Active NPI

Pediatric Clinic de Chino Hills Inc

  • Pediatrics Physician
  • Chino Hills, CA
National Provider Identifier
1548028368
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC CLINIC DE CHINO HILLS INC
Practice address
15944 Los Serranos Country Club Dr Ste 160
Chino Hills, CA 91709-3990
Phone
(909) 606-8893
Fax
(909) 606-8828
NPI assigned
Mar 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Dr. Harry Ziyu Zhao, DONPI 1942838792
Title
Chief Executive Officer
Phone
(909) 606-8893

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

15944 Los Serranos Country Club Dr Ste 160
Chino Hills, CA 91709-3990

Mailing address

15944 Los Serranos Country Club Dr Ste 160
Chino Hills, CA 91709-3990
Phone (909) 606-8893

National Provider Directory

National Provider Directory

Locations

15944 Los Serranos Country Club Dr
Ste 160
Chino Hills, CA 91709
Phone (909) 606-8893

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1548028368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15944 LOS SERRANOS COUNTRY CLUB DR STE 160",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093990",
            "telephone_number": "909-606-8893",
            "fax_number": "909-606-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15944 LOS SERRANOS COUNTRY CLUB DR STE 160",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093990",
            "telephone_number": "909-606-8893",
            "fax_number": "909-606-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CLINIC DE CHINO HILLS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "ZHAO",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "ZIYU",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "909-606-8893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.