Active NPI
Christopher DO Chao, PA-C
- Physician Assistant
- Victorville, CA
National Provider Identifier
1851007488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 12830 Hesperia Rd Ste CD&E
Victorville, CA 92395-7788 - Phone
- (760) 684-8999
- NPI assigned
- Jan 26, 2023
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
12830 Hesperia Rd Ste CD&E
Victorville, CA 92395-7788
Mailing address
12830 Hesperia Rd
Suite C, D, & E
Victorville, CA 92395-7788
Phone (760) 684-8999
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)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681516800000",
"number": "1851007488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12830 HESPERIA RD",
"address_2": "SUITE C, D, & E",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923957788",
"telephone_number": "760-684-8999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12830 HESPERIA RD STE CD&E",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923957788",
"telephone_number": "760-684-8999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAO",
"first_name": "CHRISTOPHER",
"middle_name": "DO",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-26",
"last_updated": "2023-04-15",
"certification_date": "2023-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.