Individual provider Active NPI

Ailin Chao

  • Nurse Practitioner
  • Tustin, CA
National Provider Identifier
1700770922
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95030407 Issued in CA
Practice address
2913 El Camino Real # 719
Tustin, CA 92782-8909
Phone
(949) 701-0978
NPI assigned
Jun 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95030407 CA Primary

Addresses

Primary practice location

2913 El Camino Real # 719
Tustin, CA 92782-8909

Mailing address

2913 El Camino Real # 719
Tustin, CA 92782-8909

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
I20251112002408 CA Practitioner - Nurse Practitioner 6709377286 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1451 Rimpau Ave
Suite 212
Corona, CA 92879-7520

218 N El Molino Ave
Unit 405
Pasadena, CA 91101-1637

2913 El Camino Real
Suite 719
Tustin, CA 92782-8909

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Remedial Patients Care Inc CurrentSince Oct 1, 2025 Accepting new patients
Remedial Medical Services Inc CurrentSince Oct 1, 2025 Accepting new patients
Vital Medical Group, Inc CurrentSince Oct 1, 2025 Accepting new patients
Onyx Medical Group Inc CurrentSince Sep 30, 2025 Accepting new patients
Heacock Health Medical Group, Inc. CurrentSince Oct 5, 2025 Accepting new patients
Ac and CS PastSince Oct 1, 2025 Accepting new patients

Locations

1451 Rimpau Ave
Ste 213
Corona, CA 92879
Phone (951) 268-6272

1451 Rimpau Ave
Ste 212
Corona, CA 92879
Phone (951) 346-0041

1314 W Glenoaks Blvd
Ste 205
Glendale, CA 91201
Phone (818) 396-5158

24060 Fir Ave
Ste A
Moreno Valley, CA 92553
Phone (951) 243-6460

3576 Arlington Ave
Ste 205
Riverside, CA 92506
Phone (951) 530-8972

Organizations & group practices 6

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": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1700770922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2913 EL CAMINO REAL # 719",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927828909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 EL CAMINO REAL # 719",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927828909",
            "telephone_number": "949-701-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAO",
        "first_name": "AILIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95030407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.