Active NPI
Jonathan Lum Chin, MD
- Urology Physician
- Antioch, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- A77873
- Practice address
- 2350 Country Hills Dr Ste a
Antioch, CA 94509-7436 - Phone
- (925) 779-9097
- Fax
- (925) 779-0801
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | A77873 | CA | Primary |
Addresses
Primary practice location
2350 Country Hills Dr Ste a
Antioch, CA 94509-7436
Mailing address
2350 Country Hills Dr Ste a
Antioch, CA 94509-7436
Phone (925) 779-9097
Other practice location 1
2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 395-4022
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Harvard Medical School, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330
2350 Country Hills Dr
Antioch, CA 94509-7436
365 Lennon LN
Walnut Creek, CA 94598-5915
Hospital & facility affiliations
- Sutter Delta Medical Center
- John Muir Medical Center - Walnut Creek Campus
- John Muir Medical Center - Concord Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.35 of 100
- Quality
- 85.24
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.66
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 13 |
| Removal of skin lesions | 114 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Muir Trauma Physicians Billing Service | Current | Accepting new patients | |
| Bass Medical Group | Current | Accepting new patients | |
| Bass Medical Group | Current | Accepting new patients | |
| Bass Medical Group | Current | Accepting new patients | |
| John Muir Trauma Physicians Billing Service | Urology | Current | Accepting new patients |
| Sutter Delta Medical Center | Past | Accepting new patients | |
| John Muir Health | Past | Accepting new patients | |
| John Muir Health | Past | Accepting new patients | |
| Pacific Urology a Medical Corporation | Urology | Past | Accepting new patients |
| Sutter East Bay Medical Foundation | Past | Accepting new patients | |
| Bass Medical Group | Past | Accepting new patients | |
| Bass Medical Group | Past | Accepting new patients |
Locations
1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225
2350 Country Hills Dr
Ste A
Antioch, CA 94509
Phone (925) 464-1982
365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545
2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jchin45700@ehr.johnmuirhealth.com
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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Walnut Creek, CA
- NPI 1174253405
-
- Hospitalist Physician
- Walnut Creek, CA
- NPI 1093864837
-
- Orthopaedic Surgery Physician
- Castro Valley, CA
- NPI 1093181646
-
- Orthopaedic Surgery Physician
- San Ramon, CA
- NPI 1467329904
-
- Trauma Surgery Physician
- Walnut Creek, CA
- NPI 1962551861
Urology
-
- Specialist
- Walnut Creek, CA
- NPI 1154401941
-
- Pain Medicine Physician
- Visalia, CA
- NPI 1326409343
-
- Rehabilitation Hospital Unit
- Walnut Creek, CA
- NPI 1447269303
-
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
-
- Urology Physician
- Concord, CA
- NPI 1831122480
-
- General Acute Care Hospital
- Antioch, CA
- NPI 1124135132
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Walnut Creek, CA
- NPI 1740215219
-
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
-
- General Acute Care Hospital
- Antioch, CA
- NPI 1467808659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1841216892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 COUNTRY HILLS DR STE A",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945097436",
"telephone_number": "925-779-9097",
"fax_number": "925-779-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 COUNTRY HILLS DR STE A",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945097436",
"telephone_number": "925-779-9097",
"fax_number": "925-779-0801"
}
],
"practiceLocations": [
{
"address_1": "2637 Shadelands Dr",
"address_purpose": "LOCATION",
"city": "Walnut Creek",
"state": "CA",
"postal_code": "945982512",
"country_code": "US",
"telephone_number": "925-395-4022",
"fax_number": "925-395-4425",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIN",
"first_name": "JONATHAN",
"middle_name": "LUM",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "A77873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Antioch, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.