NPIMap

Individual provider Active NPI

Cynthia W Chao, DO A PROFESSIONAL CO

  • Obstetrics & Gynecology Physician
  • Los Alamitos, CA
National Provider Identifier
1720077274
Registry record updated Apr 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
20A7343 Issued in CA
Practice address
10861 Cherry St Ste 109
Los Alamitos, CA 90720-5400
Phone
(562) 931-3137
NPI assigned
Oct 18, 2005
Last updated
Apr 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 20A7343 CA
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 20A7343 CA Primary

Addresses

Primary practice location

10861 Cherry St Ste 109
Los Alamitos, CA 90720-5400

Mailing address

1540 W Averill Park Dr
San Pedro, CA 90732-3924
Phone (562) 208-6642

Other identifiers 1

IdentifierTypeStateIssuer
00AX73430MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101207001216 CA Practitioner - Obstetrics/Gynecology 3274720990 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Western University of Health Sciences College of Dental Med, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Roads Foundation, IncGroup PAC ID 2961722558, shared by 2 NPIs, 57 clinicians

Practice addresses (Care Compare)

10861 Cherry St
Suite 109
Los Alamitos, CA 90720-5400
Phone (562) 961-3137

121 S Long Beach Blvd
Compton, CA 90221-3423
Phone (310) 627-5850

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A7343CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shahbaz Farnad MD Professional Corporation Single Specialty CurrentSince Apr 16, 2023 Accepting new patients
Bristol Park Medical Group, Inc Single Specialty Past Accepting new patients
University of California Irvine Past Accepting new patients
Dignity Health Past Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Cedars-Sinai Medical Center Single Specialty Past Accepting new patients
St. Mary Medical Center Past Accepting new patients

Locations

5757 Wilshire Blvd
Ste PR2
Los Angeles, CA 90036
Phone (310) 285-9612

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: cchaodo16073@direct.memorialcare.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713571200000",
    "number": "1720077274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 W AVERILL PARK DR",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323924",
            "telephone_number": "562-208-6642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10861 CHERRY ST STE 109",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205400",
            "telephone_number": "562-931-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAO",
        "first_name": "CYNTHIA",
        "middle_name": "W",
        "credential": "DO A PROFESSIONAL CO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "20A7343",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A7343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00AX73430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

Verify at the official NPI Registry.