Organization Active NPI

Chao & Tan Medical Group, Inc.

  • Obstetrics & Gynecology Physician
  • Barstow, CA
National Provider Identifier
1841201449
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
CHAO & TAN MEDICAL GROUP, INC.
Practice address
705 E Virginia Way Ste I
Barstow, CA 92311-3955
Phone
(760) 255-3900
Fax
(760) 255-3980
NPI assigned
Aug 10, 2006
Last updated
May 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Authorized official

Name
Likang Chao, MDNPI 1841380490
Title
President
Phone
(760) 255-3900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

705 E Virginia Way Ste I
Barstow, CA 92311-3955

Mailing address

PO Box 626
Barstow, CA 92312-0626
Phone (760) 255-3900

Other identifiers 1

IdentifierTypeStateIssuer
GR0094840MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050808000367 CA Part B Supplier - Clinic/Group Practice 0042249369 Receives reassigned benefits from 2 practitioners
Practice locations: Barstow, CA

National Provider Directory

National Provider Directory

Locations

309 E Mountain View St
Ste 110
Barstow, CA 92311
Phone (760) 255-3900

705 E Virginia Way
Ste 1
Barstow, CA 92311

705 E Virginia Way
Ste I
Barstow, CA 92311
Phone (760) 255-3900

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1841201449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 626",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923120626",
            "telephone_number": "760-255-3900",
            "fax_number": "760-255-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E VIRGINIA WAY STE I",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113955",
            "telephone_number": "760-255-3900",
            "fax_number": "760-255-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAO & TAN MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "CHAO",
        "authorized_official_first_name": "LIKANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-255-3900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0094840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barstow, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.