Stuart M Chudnofsky, MD

Primary specialty

Pediatric Allergy/Immunology PhysicianTaxonomy code 2080P0201X

License

C37177 Issued in CA

Practice address

163 Lake Shore Dr
Rancho Mirage, CA 92270-4055

Phone

(831) 596-4988

NPI assigned

Mar 10, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1023719689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 LAKE SHORE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704055",
            "telephone_number": "831-596-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 LAKE SHORE DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704055",
            "telephone_number": "831-596-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUDNOFSKY",
        "first_name": "STUART",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "CA",
            "license": "C37177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian J Luzar DMD Inc
• David Raymond Christian, MD
• Christine L Griswold MD a Professional Corporation
• Stewart Chu, PHARM.D
• Tsu-Yi Chuang, M.D., M.P.H.
• Wing Sheung Chui, P.T.
• Gissel Stephanie Chujutalli, PHYSICIAN ASSISTANT
• Marielena Cid, RN, CDE
• City of Rancho Mirage
• Gabriella Isabella Ciulla, ATC

• Pediatric Allergy/Immunology Physician in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Pediatric Allergy/Immunology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.