Chettipally MD

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

CHETTIPALLY MD

Practice address

1842 Loyola Dr
Burlingame, CA 94010-5749

Phone

(415) 275-0945

NPI assigned

Jan 28, 2025

Organization subpart

No

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

Authorized official

Name

Ngoc Minh Hoang Vien

Title

Ceo

Phone

(415) 275-0945

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1700699352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 LOYOLA DR",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940105749",
            "telephone_number": "415-275-0945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 LOYOLA DR",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940105749",
            "telephone_number": "415-275-0945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 4th St N Ste 300",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337024399",
            "country_code": "US",
            "telephone_number": "415-275-0945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHETTIPALLY MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "VIEN",
        "authorized_official_first_name": "NGOC MINH HOANG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "415-275-0945"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sao Kin Chen
• Valerie Chen
• Cynthia Cheng, PHARM.D.
• Minica Cheng, PT
• Kenneth C Chern, M.D.
• Ho Wai Cheung, LAC., PH.D
• Richard Cheung, D.C.
• Chew & Finones, DDS, Inc.
• Jennifer Hong Chew, DDS
• Whitney Chew, DO

• Psychologist in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.