Georgi Cholakov

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

5192 Hospital Rd
Mariposa, CA 95338-9524

Phone

(209) 742-6144

Fax

(209) 742-5055

NPI assigned

Sep 27, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/fremont-d0489e1b
• Direct secure messaging: georgi.cholakov.p1@direct.macthealth.nextgenshare.com

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.

• M a C T Health Board Incorporated

  • Federally Qualified Health Center (FQHC)
  • San Andreas, CA
  • NPI 1366519431

  TX

  Medicare reassignment
• M a C T Health Board Incorporated

  • Federally Qualified Health Center (FQHC)
  • Sonora, CA
  • NPI 1154147445
  NPD (past)
• M a C T Health Board Incorporated

  • Federally Qualified Health Center (FQHC)
  • Sonora, CA
  • NPI 1467444364
  NPD (past)
• M a C T Health Board Incorporated

  • Federally Qualified Health Center (FQHC)
  • Valley Springs, CA
  • NPI 1649091109
  NPD (past)
• M a C T Health Board Incorporated

  • Clinic/Center
  • Sonora, CA
  • NPI 1871237040
  NPD (past)
• M a C T Health Board, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Sutter Creek, CA
  • NPI 1417741869
  NPD (past)

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1023527652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 939",
            "city": "ANGELS CAMP",
            "state": "CA",
            "postal_code": "952220939",
            "telephone_number": "209-754-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5192 HOSPITAL RD",
            "city": "MARIPOSA",
            "state": "CA",
            "postal_code": "953389524",
            "telephone_number": "209-742-6144",
            "fax_number": "209-742-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOLAKOV",
        "first_name": "GEORGI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-27",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "54890",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan Leon Cassady, P.T., M.T.C.
• Emily M Casselman, BSW
• Andrea Dawn Cerrato, AMFT
• Freddie Raymond Chavez
• Hong Jae Choi
• Christina Noel Christianson
• Chukwuocha MD Inc
• Iris M Chynoweth, ED.M
• Ginger Clark, RN
• Denise Marie Collins

• All providers in Mariposa, CA
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.