Active NPI
Kenneth L Chambers, M.D., M.P.H
- Orthopaedic Surgery Physician
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- A106366
- Practice address
- 11160 Warner Avenue
311
Fountain Valley, CA 92708-4055 - Phone
- (714) 850-7300
- Fax
- (714) 957-7348
- NPI assigned
- Dec 8, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | A106366 | CA | Primary |
Addresses
Primary practice location
11160 Warner Avenue
311
Fountain Valley, CA 92708-4055
Mailing address
11160 Warner Avenue
311
Fountain Valley, CA 92708-4055
Phone (714) 850-7300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A106366 | Other | CA | MEDICAL LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Columbia University College of Physicians and Surgeons, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22 Odyssey
Suite 205
Irvine, CA 92618-3197
Phone (949) 586-3200
8700 Warner Ave
Suite 140
Fountain Valley, CA 92708-3209
Phone (714) 850-7300
8740 Warner Ave
Fountain Valley, CA 92708-3205
Phone (714) 850-7300
Hospital & facility affiliations
- Mission Home Health of Irvine, LLC
- Memorialcare Orange Coast Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 11 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 24 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A106366 | CA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthowest | Orthopaedic Surgery | Current | Accepting new patients |
| Orthowest | Orthopaedic Surgery | Current | Accepting new patients |
| Chapman Medical Center Inc | Past | Accepting new patients | |
| Orange Coast Memorial Medical Center | Past | Accepting new patients | |
| Daniel T Stein, M.D. a Medical Corporation | Past | Accepting new patients |
Locations
8700 Warner Ave
Ste 140
Fountain Vly, CA 92708
Phone (714) 847-6727
11160 Warner Ave
Ste 311
Fountain Vly, CA 92708
Phone (714) 850-7300
22 Odyssey
Ste 205
Irvine, CA 92618
Phone (949) 870-3332
24331 El Toro Rd
Ste 200
Laguna Woods, CA 92637
Phone (949) 767-0800
2445 W Chapman Ave
Ste 100
Orange, CA 92868
Phone (714) 850-7300
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Laguna Woods, CA
- NPI 1760007330
-
- Durable Medical Equipment & Medical Supplies
- Fountain Valley, CA
- NPI 1497356489
Orthopaedic Surgery
-
- Institutional Pharmacy
- Orange, CA
- NPI 1053354308
-
- Surgery Physician
- Fountain Valley, CA
- NPI 1386767457
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Irvine, CA
- NPI 1013309707
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604361600000",
"number": "1023347846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11160 WARNER AVENUE",
"address_2": "311",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084055",
"telephone_number": "714-850-7300",
"fax_number": "714-957-7348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11160 WARNER AVENUE",
"address_2": "311",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084055",
"telephone_number": "714-850-7300",
"fax_number": "714-957-7348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMBERS",
"first_name": "KENNETH",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-08",
"last_updated": "2020-11-03",
"certification_date": "2020-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A106366",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "A106366",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.