Active NPI
Fredric K. Chin, M.D.
- Diagnostic Radiology Physician
- Oakland, CA
National Provider Identifier
1831181114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- C28230
- Practice address
- 350 Hawthorne Ave
Oakland, CA 94609-3108 - Phone
- (510) 869-6588
- Fax
- (510) 869-6179
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | C28230 | CA | Primary |
Addresses
Primary practice location
350 Hawthorne Ave
Oakland, CA 94609-3108
Mailing address
411 Hawthorne Ave
Oakland, CA 94609-3031
Phone (510) 869-6251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C28230 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affiliates in Imaging, a Medical Group Inc | Diagnostic Radiology | Past | Accepting new patients |
| Pacific Imaging Consultants, a Medical Group, Inc. | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Oakland, CA
- NPI 1083608541
-
- Diagnostic Radiology Physician
- Oakland, CA
- NPI 1265480099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1831181114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 HAWTHORNE AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093031",
"telephone_number": "510-869-6251",
"fax_number": "510-869-6250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 HAWTHORNE AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093108",
"telephone_number": "510-869-6588",
"fax_number": "510-869-6179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIN",
"first_name": "FREDRIC",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "C28230",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.