Organization Active NPI

Michael S Chin MD Inc

  • Vascular Surgery Physician
  • Monterey Park, CA
National Provider Identifier
1881446706
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
MICHAEL S CHIN MD INC
Practice address
120 W Hellman Ave Ste 204
Monterey Park, CA 91754-1209
Phone
(626) 940-9834
Fax
(626) 774-7820
NPI assigned
Apr 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Dr. Michael Chin, MDNPI 1114012648
Title
Owner
Phone
(951) 271-0880

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
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

120 W Hellman Ave Ste 204
Monterey Park, CA 91754-1209

Mailing address

2575 Stewart St Apt Suite
Riverside, CA 92503-6051
Phone (951) 271-0880

Other names 1

  • Mission Surgical Clinic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251023001430 CA Part B Supplier - Clinic/Group Practice 6608364419 Receives reassigned benefits from 1 practitioner
Practice locations: Monterey Park, CA; Rancho Cucamonga, CA

National Provider Directory

National Provider Directory

Locations

120 W Hellman Ave
Ste 304
Monterey Park, CA 91754

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1881446706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 STEWART ST APT SUITE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925036051",
            "telephone_number": "951-271-0880",
            "fax_number": "626-774-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W HELLMAN AVE STE 204",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541209",
            "telephone_number": "626-940-9834",
            "fax_number": "626-774-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S CHIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-271-0880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Surgical Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monterey Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.