STEPHEN CHINN OD A PROFESSIONAL CORPERATION DBA AS STEPHEN CHINN OD (NPI# 1881901932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881901932 |
| Entity Type | Organization |
| Organization Name | STEPHEN CHINN OD A PROFESSIONAL CORPERATION DBA AS STEPHEN CHINN OD |
| Other Organization Name | STEPHEN CHINN OD |
| Practice Address |
2811 University Ave Suite C San Diego CA 92104-2904 |
| Practice Telephone | 6192800664 |
| Practice Fax Number | 6192948100 |
| Mailing Telephone | 6192800664 |
| Mailing Fax Number | 6192948100 |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2010-09-10 |
| Authorized Official Name | DR. STEPHEN CHINN (OPTOMETRIST) |
| Authorized Official Telephone | 6192800664 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 5373TPL | CA | Managed Care Organizations |
| Other Name | Type Code |
|---|---|
| STEPHEN CHINN OD | Doing Business As Name - Organization |
| Street Address |
2811 UNIVERSITY AVE SUITE C |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92104-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073989471 | Jennifer Chinn | Optometrist | 2811 University Ave, C, San Diego, CA 92104-2904 | 2015-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750933610 | Hinderberger Dental Corporation | Dentist | 2050 El Cajon Boulevard, San Diego, CA 92104 | 2019-07-11 |
| 1912487265 | Graham Ashton Harris | Dentist | 2310 Craven Street, Bldg 3230, Fpo, AA 92104 | 2018-08-16 |
| 1700393485 | Christian Jacot | Occupational Therapy Assistant | 3128 Nile Street, San Diego, CA 92104 | 2018-01-04 |
| 1316452931 | Enrico Resurreccion Santos | Dental Hygienist | 2310 Craven St. Bldg. 3230, San Diego, CA 92104 | 2017-12-05 |
| 1164940789 | Robert Brian Damone | Acupuncturist | 3370 29th Street, San Diego, CA 92104 | 2017-09-04 |
| 1780100636 | Nicole Palacios | Counselor | 4170 Texas Street, Apt 1, San Diego, CA 92104 | 2017-08-22 |
| 1063938587 | Indie C Oliver Landrum | Case Manager/Care Coordinator | 2220 Broadway, San Diego, CA 92104 | 2017-08-16 |
| 1669829008 | Krystah Lynn Smith | Doula | 3370 Cherokee Ave, Unit 43, San Diego, CA 92104 | 2016-05-16 |
| 1063871853 | Holly Nicole Hinderberger | Dentist | 2050 El Cajon Blvd, San Diego, CA 92104 | 2016-02-22 |
| 1316336258 | Jorge E Talavera | Military Health Care Provider | 3875 Florida St Apt 2, San Diego, CA 92104 | 2015-01-15 |
| Find all providers in zip 92104 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
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| 1508975202 | Lawrence J. Schlitt M.d., A Professional Medical Corp. | Preferred Provider Organization | 12395 El Camino Real Ste 120, San Diego, CA 92130-3083 | 2006-08-29 |
| 1932709532 | Frey Dental Corporation | Preferred Provider Organization | 8989 Rio San Diego Dr Ste 170, San Diego, CA 92108-1604 | 2020-11-01 |
| 1912439050 | San Diego American Indian Health Center | Preferred Provider Organization | 2630 1st Ave, San Diego, CA 92103-6599 | 2017-03-29 |
| 1902348527 | Rb Senior Residences | Preferred Provider Organization | 15260 Amalia St, San Diego, CA 92129-1228 | 2016-11-14 |
| 1194271189 | Cvs Health | Preferred Provider Organization | 1792 Garnet Ave, San Diego, CA 92109-3350 | 2016-08-30 |
| 1588119317 | Pathways Community Services, LLC | Preferred Provider Organization | 8880 Rio San Diego Dr, Suite 800 Office 47, San Diego, CA 92108-1634 | 2016-08-22 |
| 1912365651 | Stephanie Knatz Peck, Phd Psychological Services Inc | Preferred Provider Organization | 4370 La Jolla Village Dr Ste 400, San Diego, CA 92122-1251 | 2016-02-09 |
| 1659761849 | Love Psychology, Inc. | Preferred Provider Organization | 2204 Garnet Ave, Suite 102, San Diego, CA 92109-3771 | 2015-01-27 |
| Find all providers in SAN DIEGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.