Individual provider Active NPI

Amy Chonghasawat, MD

  • Surgery Physician
  • Alhambra, CA
National Provider Identifier
1003306739
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
186004 Issued in CA
Practice address
328 South First Street
Suite F & G
Alhambra, CA 91801
Phone
(626) 457-6333
Fax
(626) 457-1933
NPI assigned
May 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301114891 MI
Surgery Physician 208600000X 186004 CA Primary

Addresses

Primary practice location

328 South First Street
Suite F & G
Alhambra, CA 91801

Mailing address

120 W Hellman Ave Ste 203
Monterey Park, CA 91754-1209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230721003250 CA Practitioner - General Surgery 9638425762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Surgeons Medical Group IncGroup PAC ID 6608779160, 9 clinicians

Practice addresses (Care Compare)

18575 Gale Ave
City of Industry, CA 91748-1383
Phone (626) 457-6333

Hospital & facility affiliations

  • San Gabriel Valley Medical Center Hospital, San Gabriel, CA, CCN 050132
  • Garfield Medical Center Hospital, Monterey Park, CA, CCN 050737
  • Alhambra Hospital Medical Center Hospital, Alhambra, CA, CCN 050281
  • Monterey Park Hospital Hospital, Monterey Park, CA, CCN 050736

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux13
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
186004CAMDSurgery Physician
4301114891MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Surgeons Medical Group Inc Surgery CurrentSince Aug 1, 2023 Accepting new patients
David C P Chen, M.D., Inc Past Accepting new patients

Locations

101 Wheeler Ave
Ste C
Arcadia, CA 91006
Phone (626) 457-1933

18575 Gale Ave
Ste 295
City of Industry, CA 91748
Phone (626) 369-9663

120 W Hellman Ave
Ste 203
Monterey Park, CA 91754
Phone (626) 457-6333

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1003306739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W HELLMAN AVE STE 203",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917541209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 SOUTH FIRST STREET",
            "address_2": "SUITE F & G",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "91801",
            "telephone_number": "626-457-6333",
            "fax_number": "626-457-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONGHASAWAT",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301114891",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "186004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

Verify at the official NPI Registry.