Active NPI
Edward Sang Chin, D.P.M.
- Podiatrist
- Irvine, CA
National Provider Identifier
1932176609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E3599
- Practice address
- 16100 Sand Canyon Ave
Suite 310
Irvine, CA 92618-3716 - Phone
- (949) 450-0200
- Fax
- (949) 450-0220
- NPI assigned
- Mar 2, 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E3599 | CA | Primary |
Addresses
Primary practice location
16100 Sand Canyon Ave
Suite 310
Irvine, CA 92618-3716
Mailing address
113 Waterworks Way
Suite 330
Irvine, CA 92618-3167
Phone (949) 450-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E35990 | Medicaid | CA |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110509000308 | CA | Practitioner - Podiatry | 3173709177 | Practice locations: Irvine, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
113 Waterworks Way
Suite 330
Irvine, CA 92618-3173
Phone (949) 450-0200
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 172 |
| Removal of nail tissue | 635 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3599 | CA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anaheim Global Medical Center, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Anaheim Global Medical Center
- General Acute Care Hospital
- Anaheim, CA
- NPI 1790778488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337731200000",
"number": "1932176609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 WATERWORKS WAY",
"address_2": "SUITE 330",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183167",
"telephone_number": "949-450-0200",
"fax_number": "949-450-0220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16100 SAND CANYON AVE",
"address_2": "SUITE 310",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183716",
"telephone_number": "949-450-0200",
"fax_number": "949-450-0220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIN",
"first_name": "EDWARD",
"middle_name": "SANG",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-02",
"last_updated": "2012-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E3599",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E35990",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.