Warren Chin MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

A75147 Issued in CA

Legal business name

WARREN CHIN MD

Practice address

4704 Hoen Ave
Santa Rosa, CA 95405-7824

Phone

(707) 575-5000

Fax

(707) 575-5002

NPI assigned

Mar 23, 2012

Last updated

Mar 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Warren Bruce Chin, MDNPI 1740390681

Title

Physician

Phone

(707) 575-5000

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Warren Bruce Chin, MD

  • Physical Medicine & Rehabilitation Physician
  • Santa Rosa, CA
  • NPI 1740390681
  NPD (past) Authorized official

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1992071971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 HOEN AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057824",
            "telephone_number": "707-575-5000",
            "fax_number": "707-575-5002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4704 HOEN AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057824",
            "telephone_number": "707-575-5000",
            "fax_number": "707-575-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN CHIN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-23",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "CHIN",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "707-575-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A75147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ward, CMT
• Amy Ware, NP
• Allison Wargo
• Alanna L Wargula, DPM
• Susan H. Warnock
• Jennifer Elizabeth Warren, RN, FNP
• Laurie Warren
• Mark Warren, PTA
• Nancy D Warren, AUD
• Ryanesha Warren

• Physical Medicine & Rehabilitation Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.