DR. CHIA SOO (MD) – Plastic and Reconstructive Surgery Physician, NPI 1114959822

DR. CHIA SOO (MD) is a healthcare provider. based in Los angeles, California. specializing in GENERAL PRACTICE, PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. They hold a License No. G80186 (CA). The NPI Number for DR. CHIA SOO (MD) is 1114959822

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
DR. CHIA SOO (MD)
NPI
1114959822
Phone
(310) 206-8499
Address
200 UCLA MEDICAL PLZ
Enumeration Date
6 July 2006
Last Update Date
23 January 2015

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1993 (33 years ago)
PAC ID
5395710362
Group Practice PAC ID
2264422070
Professional Enrollment ID
I20040901000889
Address ID
CA900958344LO200XXPLZX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,034 GENERAL PRACTICE in CA

Provider Addresses for DR. CHIA SOO (MD)

  • 200 UCLA MEDICAL PLZ

    SUITE 465

    LOS ANGELES, CA 900956960

    Phone: (310) 206-8499

    Fax: (310) 206-4190

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-09-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040901000889IGeneral PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90095)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264422070View full group profile
NameSpecialtyState
Plastic And Reconstructive SurgeryCA
Plastic And Reconstructive SurgeryNC
Plastic And Reconstructive SurgeryCA
Physical Medicine And RehabilitationCA
Plastic And Reconstructive SurgeryCA
Plastic And Reconstructive SurgeryCA
Plastic And Reconstructive SurgeryCA
Plastic And Reconstructive SurgeryCA
Plastic And Reconstructive SurgeryCA
Plastic And Reconstructive SurgeryCA

Reviews

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Frequently asked questions

What is DR. CHIA SOO (MD)'s NPI number?
DR. CHIA SOO (MD)'s NPI is 1114959822 — the number used across U.S. healthcare to identify this provider.
Would DR. CHIA SOO (MD) appear as active to a payer?
You can treat DR. CHIA SOO (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe DR. CHIA SOO (MD)'s focus?
For DR. CHIA SOO (MD), the primary taxonomy reads as Plastic and Reconstructive Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. CHIA SOO (MD)?
Directory geography for DR. CHIA SOO (MD) centers on Los Angeles, California.
Can I trust this NPI listing for DR. CHIA SOO (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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