Active NPI
Janna Marie Cline-Chanes, M.S.
- Specialist
- Los Angeles, CA
National Provider Identifier
1013017110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- AU9820
- Practice address
- 11645 Wilshire Blvd
Suite # 600
Los Angeles, CA 90025-1708 - Phone
- (310) 477-5558
- Fax
- (310) 477-7281
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | AU9820 | CA | Primary |
Addresses
Primary practice location
11645 Wilshire Blvd
Suite # 600
Los Angeles, CA 90025-1708
Mailing address
11645 Wilshire Blvd
Suite # 600
Los Angeles, CA 90025-1708
Phone (310) 477-5558
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AU0009820 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU9820 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Coast Hearing & Balance Center | Specialist | Current | Accepting new patients |
| Ventura Ear Nose & Throat Med Group Inc | Past | Accepting new patients | |
| Brian D. Brantner, M.D. a Professional Corporation | Past | Accepting new patients |
Locations
3801 Las Posas Rd
Ste 106B
Camarillo, CA 93010
Phone (805) 383-8995
1700 N Rose Ave
Ste 460
Oxnard, CA 93030
Phone (805) 983-0395
2876 Sycamore Dr
Ste 303
Simi Valley, CA 93065
Phone (805) 527-7320
Organizations & group practices 3
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.
-
- Hearing and Speech Clinic/Center
- Simi Valley, CA
- NPI 1659300499
Specialist
-
- Medical Specialty Clinic/Center
- Ventura, CA
- NPI 1780861443
-
- Otolaryngology Physician
- Ventura, CA
- NPI 1336141175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1013017110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11645 WILSHIRE BLVD",
"address_2": "SUITE # 600",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251708",
"telephone_number": "310-477-5558",
"fax_number": "310-477-7281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11645 WILSHIRE BLVD",
"address_2": "SUITE # 600",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251708",
"telephone_number": "310-477-5558",
"fax_number": "310-477-7281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLINE-CHANES",
"first_name": "JANNA",
"middle_name": "MARIE",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "AU9820",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AU0009820",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.