Active NPI
Tin Thanh Chu, MD
- Family Medicine Physician
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A198862
- Practice address
- 4343 Market St Ste C
Riverside, CA 92501-3567 - Phone
- (951) 784-7406
- NPI assigned
- Mar 30, 2022
- Last updated
- Jul 9, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Family Medicine Physician | 207Q00000X | A198862 | CA | Primary |
Addresses
Primary practice location
4343 Market St Ste C
Riverside, CA 92501-3567
Mailing address
4343 Market St Ste C
Riverside, CA 92501-3567
Phone (951) 784-7406
Other practice location 1
400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-3366
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
- Family Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10362 Bolsa Ave
Suite 110
Westminster, CA 92683-6763
Phone (714) 531-2091
4343 Market St
Suite C
Riverside, CA 92501-3567
Phone (951) 784-7406
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A198862 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Medical Group Inc. | Family Medicine | Current | Accepting new patients |
| Bolsa Medical Group | Family Medicine | Current | Accepting new patients |
| Bolsa Medical Group | Past | Accepting new patients |
Locations
4343 Market St
Ste C
Riverside, CA 92501
Phone (951) 248-0485
10362 Bolsa Ave
Westminster, CA 92683
Phone (714) 531-2091
10362 Bolsa Ave
Ste 110
Westminster, CA 92683
Phone (714) 531-2091
10362 Bolsa Ave
Ste 206
Westminster, CA 92683
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- tinthanh.chu@bolsamg.directbygreenway.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Riverside, CA
- NPI 1649015942
-
- Non-Pharmacy Dispensing Site
- Westminster, CA
- NPI 1720423833
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Parkview Community Hospital Medical Center
- General Acute Care Hospital
- Riverside, CA
- NPI 1124596382
-
dba Riverside Community Hospital
- General Acute Care Hospital
- Riverside, CA
- NPI 1114971660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752019200000",
"number": "1922748862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4343 MARKET ST STE C",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013567",
"telephone_number": "951-784-7406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4343 MARKET ST STE C",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013567",
"telephone_number": "951-784-7406"
}
],
"practiceLocations": [
{
"address_1": "400 N Pepper Ave",
"address_purpose": "LOCATION",
"city": "Colton",
"state": "CA",
"postal_code": "923241801",
"country_code": "US",
"telephone_number": "909-580-3366",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHU",
"first_name": "TIN",
"middle_name": "THANH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-30",
"last_updated": "2025-07-09",
"certification_date": "2025-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A198862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.