Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michelle CHI

Individual provider Family Nurse Practitioner · NPI 1972452423

Michelle CHI is a Nurse Practitioner in San Mateo, California. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2026
Specialties on file
2
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Practice location Address checks out

210 Baldwin Ave
San Mateo, CA 94401-3915
Phone: (650) 579-6581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95038103 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 95211755 (CA)

Record details

NPI number1972452423
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 27, 2026
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026
Mailing address1434 Carleton Way, Fullerton, CA 92833-2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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