Individual provider Active NPI

John KS Chia, MD

  • Infectious Disease Physician
  • Torrance, CA
National Provider Identifier
1801876412
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
G43168 Issued in CA
Practice address
23430 Hawthorne Blvd Ste 200
Torrance, CA 90505-4730
Phone
(310) 784-5880
Fax
(310) 325-3117
NPI assigned
Jan 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G43168 CA
Infectious Disease Physician 207RI0200X G43168 CA Primary

Addresses

Primary practice location

23430 Hawthorne Blvd Ste 200
Torrance, CA 90505-4730

Mailing address

23430 Hawthorne Blvd Ste 200
Torrance, CA 90505-4730
Phone (310) 784-5880

Other identifiers 1

IdentifierTypeStateIssuer
00G431680MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111209000372 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 6709821952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University of California, Geffen School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Id Med a Medical CorporationGroup PAC ID 2365486966, 5 clinicians

Practice addresses (Care Compare)

23430 Hawthorne Blvd
Suite 200
Torrance, CA 90505-4730
Phone (310) 784-5880

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G43168CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Id Med a Medical Corporation CurrentSince Jun 1, 1990 Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Ev Med Research LLC PastSince Jan 1, 2010 Accepting new patients
Providence Health System Southern California Past Accepting new patients

Locations

23560 Crenshaw Blvd
Ste 101
Torrance, CA 90505
Phone (310) 517-7021

23430 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 373-7993

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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 1

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523404800000",
    "number": "1801876412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23430 HAWTHORNE BLVD STE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054730",
            "telephone_number": "310-784-5880",
            "fax_number": "310-325-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23430 HAWTHORNE BLVD STE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054730",
            "telephone_number": "310-784-5880",
            "fax_number": "310-325-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIA",
        "first_name": "JOHN",
        "middle_name": "KS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2018-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G43168",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "G43168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G431680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.