Organization Active NPI

Joe P Chauvapun MD Professional Corporation

  • Vascular Surgery Physician
  • Palmdale, CA
National Provider Identifier
1033921663
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
JOE P CHAUVAPUN MD PROFESSIONAL CORPORATION
Practice address
327 E Palmdale Blvd Ste D
Palmdale, CA 93550-7139
Phone
(310) 953-5502
NPI assigned
Jan 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Dr. Joe Potchanard Chauvapun, M.D.NPI 1487842597
Title
Owner
Phone
(213) 375-5737

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary

Addresses

Primary practice location

327 E Palmdale Blvd Ste D
Palmdale, CA 93550-7139

Mailing address

327 E Palmdale Blvd Ste D
Palmdale, CA 93550-7139
Phone (109) 535-5023

Other practice location 1

1050 Linden Ave Fl 2
Long Beach, CA 90813-3321
Phone (310) 953-5502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250516002674 CA Part B Supplier - Clinic/Group Practice 3072031632 Receives reassigned benefits from 1 practitioner
Practice locations: Long Beach, CA; Palmdale, CA; Victorville, CA

National Provider Directory

National Provider Directory

Locations

968 S Coast Hwy
#4799
Laguna Beach, CA 92651

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1033921663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 E PALMDALE BLVD STE D",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935507139",
            "telephone_number": "109-535-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 E PALMDALE BLVD STE D",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935507139",
            "telephone_number": "310-953-5502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Linden Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908133321",
            "country_code": "US",
            "telephone_number": "310-953-5502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOE P CHAUVAPUN MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "CHAUVAPUN",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "POTCHANARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-375-5737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.