KNOTT-BALL ANAHEIM MEDICAL CLINIC
NPI 1093958464
Family Medicine in Anaheim, CA
About Knott-ball Anaheim Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KNOTT-BALL ANAHEIM MEDICAL CLINIC (NPI 1093958464) is a healthcare organization registered as a family medicine in Anaheim, California and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through January 16, 2027 and lists Chinh Thien Dinh, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Knott-ball Anaheim Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Knott-Ball Anaheim Medical Clinic, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D0982140
Knott-Ball Anaheim Medical Clinic · Anaheim, CAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Chinh T. Dinh, A Professional Medical Corporation's NPI number?
The NPI number for Chinh T. Dinh, A Professional Medical Corporation is 1093958464. It was assigned to this organization in the NPPES registry on April 14, 2009. The provider is doing business as Knott-Ball Anaheim Medical Clinic.
Where is Chinh T. Dinh, A Professional Medical Corporation located?
Chinh T. Dinh, A Professional Medical Corporation is located at 3414 W Ball Rd Ste F, Anaheim, CA 92804. The listed phone number is (714) 761-9137.
What is Chinh T. Dinh, A Professional Medical Corporation's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Chinh T. Dinh, A Professional Medical Corporation enrolled in Medicare?
Yes. Chinh T. Dinh, A Professional Medical Corporation is registered in the Medicare PECOS enrollment system.
When is Chinh T. Dinh, A Professional Medical Corporation's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Chinh T. Dinh, A Professional Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Chinh T. Dinh, A Professional Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Chinh T. Dinh, A Professional Medical Corporation hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0982140) is associated with this NPI, valid through January 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Chinh T. Dinh, A Professional Medical Corporation was last updated on April 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Knott-Ball Anaheim Medical Clinic · NPI 1093958464
Family Medicine organization in Anaheim, California. Organization record, active in the CMS NPPES registry since April 14, 2009.
## Identity
- **NPI:** 1093958464 (Entity type: Organization)
- **Enumerated:** April 14, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Chinh T. Dinh, A Professional Medical Corporation
- **Organization subpart:** No
- **Authorized official:** Chinh Dinh, PRESIDENT
## Practice location
- **Address:** 3414 W BALL RD STE F, Anaheim, CA 92804-3726
- **Phone:** (714) 761-9137
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 14, 2009
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093958464) · Data from the CMS NPPES public registry.