Active NPI
Derek Bryan Chinn, DO
- Pulmonary Disease Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 20A17846
- Practice address
- 4520 Executive Dr Ste 111
San Diego, CA 92121-3019 - Phone
- (800) 926-8273
- NPI assigned
- Apr 24, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20A17846 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 20A17846 | CA | |
| Pulmonary Disease Physician | 207RP1001X | 20A17846 | CA | Primary |
Addresses
Primary practice location
4520 Executive Dr Ste 111
San Diego, CA 92121-3019
Mailing address
File 57326
Los Angeles, CA 90074-7326
Phone (800) 926-8273
Other practice location 1
4168 Front St
San Diego, CA 92103-2030
Phone (800) 926-8273
Other practice location 2
9300 Campus Point Dr
LA Jolla, CA 92037-1300
Phone (800) 926-8273
Other practice location 3
4510 Executive Dr Ste P7
San Diego, CA 92121-3021
Phone (800) 926-8273
Other practice location 4
9434 Medical Center Dr
LA Jolla, CA 92037-1337
Phone (800) 926-8273
Other practice location 5
200 W Arbor Dr
San Diego, CA 92103-9000
Phone (800) 926-8273
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
- Pulmonary Disease
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4520 Executive Dr
Suite P2
San Diego, CA 92121-3028
Phone (858) 249-6753
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A17846 | CA | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Pulmonary Disease | Current | Accepting new patients |
| Regents of the University of California | Current | Accepting new patients |
Locations
9434 Medical Center Dr
La Jolla, CA 92037
Phone (800) 926-8276
9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000
File 57326
Los Angeles, CA 90074
4510 Executive Dr
Ste P7
San Diego, CA 92121
4520 Executive Dr
Ste 111
San Diego, CA 92121
Phone (858) 657-7237
4520 Executive Dr
Ste P2
San Diego, CA 92121
Phone (844) 757-5337
4520 Executive Dr
San Diego, CA 92121
Phone (858) 249-1429
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
Interoperability endpoints
- dchinn150477@direct.llu.edu
Organizations & group practices 2
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.
-
- Pulmonary Disease Physician
- San Diego, CA
- NPI 1386762300
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1184722779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1932697174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE 57326",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900747326",
"telephone_number": "800-926-8273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4520 EXECUTIVE DR STE 111",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213019",
"telephone_number": "800-926-8273"
}
],
"practiceLocations": [
{
"address_1": "4168 Front St",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921032030",
"country_code": "US",
"telephone_number": "800-926-8273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9300 Campus Point Dr",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "920371300",
"country_code": "US",
"telephone_number": "800-926-8273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4510 Executive Dr Ste P7",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921213021",
"country_code": "US",
"telephone_number": "800-926-8273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9434 Medical Center Dr",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "920371337",
"country_code": "US",
"telephone_number": "800-926-8273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 W Arbor Dr",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921039000",
"country_code": "US",
"telephone_number": "800-926-8273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHINN",
"first_name": "DEREK",
"middle_name": "BRYAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-24",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "20A17846",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "20A17846",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "20A17846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.