Active NPI
Michelle Chin
- Medical Physician Assistant
- Manhattan Beach, CA
National Provider Identifier
1780112581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 111 N Sepulveda Blvd Ste 210
Manhattan Beach, CA 90266 - Phone
- (310) 379-2134
- NPI assigned
- May 24, 2017
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
111 N Sepulveda Blvd Ste 210
Manhattan Beach, CA 90266
Mailing address
111 N Sepulveda Blvd Ste 210
Manhattan Beach, CA 90266-6849
Phone (310) 379-2134
Other practice location 1
9180 Bidwell St
Temple City, CA 91780-2454
Phone (626) 532-3349
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170929001357 | CA | Practitioner - Physician Assistant | 8820363989 | Reassigns benefits to 7 organizations |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 94.83 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Inglewood, CA
- NPI 1528333101
CA
-
- Emergency Medicine Physician
- Los Angeles, CA
- NPI 1972826931
CA
-
- Emergency Medicine Physician
- Santa Monica, CA
- NPI 1609888940
CA
-
- Emergency Medicine Physician
- Sherman Oaks, CA
- NPI 1518904150
CA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528934400000",
"number": "1780112581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N SEPULVEDA BLVD STE 210",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902666849",
"telephone_number": "310-379-2134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N SEPULVEDA BLVD STE 210",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "90266",
"telephone_number": "310-379-2134"
}
],
"practiceLocations": [
{
"address_1": "9180 Bidwell St",
"address_purpose": "LOCATION",
"city": "Temple City",
"state": "CA",
"postal_code": "917802454",
"country_code": "US",
"telephone_number": "626-532-3349",
"fax_number": "626-532-3349",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIN",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-24",
"last_updated": "2018-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhattan Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.