DR. KHONTHEARY YEN CHAP M.D
NPI 1407219058
Student in an Organized Health Care Education/Training Program in Riverside, CA

Active since March 31, 2016PECOS EnrolledAccepts Medicare Assignment
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505(951) 353-4539 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2021, Apr 1, 2016 (2 updates tracked since 2016).

About Dr. Khontheary Yen Chap M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KHONTHEARY YEN CHAP M.D (NPI 1407219058) is an individual student in an organized health care education/training program in Riverside, California and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1407219058
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. KHONTHEARY YEN CHAPCredential: M.D
Location Address10800 MAGNOLIA AVERiverside, CA 92505-3043
Mailing Address10800 Magnolia AveRiverside, CA 92505-3043 · (951) 353-4539
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 31, 2016
Last NPPES UpdateDecember 3, 20212 updates tracked since enumeration
NPI 1407219058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
10800 MAGNOLIA AVE, Riverside, CA 92505

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Khontheary Yen Chap M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244662245
PECOS Enrollment IDI20191113000852
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services12 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Acute Care Hospital
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Physician Assistant
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Surgery
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Internal Medicine (Critical Care Medicine)
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Family Medicine
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Internal Medicine
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Thoracic Surgery (Cardiothoracic Vascular Surgery)
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Nurse Practitioner
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505

Frequently 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 Khontheary Chap's NPI number?

The NPI number for Khontheary Chap is 1407219058. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Where is Khontheary Chap located?

Khontheary Chap practices at 10800 Magnolia Ave, Riverside, CA 92505. The listed phone number is (951) 353-4539.

What is Khontheary Chap's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Khontheary Chap enrolled in Medicare?

Yes. Khontheary Chap is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Khontheary Chap was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.