CHETCO MEDICAL & AESTHETICS LLC – NPI #1316555428
Internal Medicine

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

Health Care Provider Taxonomy Code for Internal Medicine

CHETCO MEDICAL & AESTHETICS LLC is a provider located in BROOKINGS, OR. NPPES has assigned the NPI number 1316555428 to CHETCO MEDICAL & AESTHETICS LLC on July 15, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RG0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Geriatric Medicine

The NPI profile was last updated on Apr 24, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHETCO MEDICAL & AESTHETICS LLC below.

NPI Profile for
CHETCO MEDICAL & AESTHETICS LLC

NPI Number
1316555428
Enumeration Date

(about 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHETCO MEDICAL & AESTHETICS LLC
Primary location
97825 SHOPPING CENTER AVE
BROOKINGS, OR 97415-9403
Phone: (541) 412-9800 Fax: (541) 412-9300
Mailing address
PO BOX 2742
BROOKINGS, OR 97415-0326
Phone: (541) 412-9800 Fax: (541) 412-9300
Organization Subpart
No
Authorized Official
PALAK PATEL
PARTNER
Phone: (541) 412-9800
Updated
Certification Date
Apr 24, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RG0300X
- Internal Medicine / Geriatric Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
EMAIL
Content Type
Affiliation
N
Endpoint Location
97825 SHOPPING CENTER AVE,
BROOKINGS, OR 77025-1669