Active NPI
Puneet Chandak, M.D.
- Nuclear Medicine Physician
- Fremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- A79514
- Practice address
- 2191 Mowry Ave
Suite 500-H
Fremont, CA 94538-1725 - Phone
- (415) 595-8687
- NPI assigned
- Apr 20, 2006
- Last updated
- Dec 27, 2007
- 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 |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | A79514 | CA | Primary |
Addresses
Primary practice location
2191 Mowry Ave
Suite 500-H
Fremont, CA 94538-1725
Mailing address
333 Santana Row
Apt 223
San Jose, CA 95128-2000
Phone (415) 595-8687
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ05957Z | Other | MEDICARE GROUP ID |
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
- Nuclear Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16661 Ventura Blvd
Suite 100
Encino, CA 91436-1922
Phone (415) 595-8687
2191 Mowry Ave
Suite 500H
Fremont, CA 94538-1725
Phone (510) 792-9700
39120 Argonaut Way
Suite 827
Fremont, CA 94538-1304
50 N la Cienega Blvd
Suite 100
Beverly Hills, CA 90211-2241
Phone (510) 953-4099
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.83 of 100
- Quality
- 71.67
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.18 of 100
- Quality
- 78.33
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A79514 | CA | MD | Nuclear Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silicon Valley Medical Imaging Inc a Medical Corporation | Nuclear Medicine | Current | Accepting new patients |
| Beverly Wilshire Medical Imaging PC | Current | Accepting new patients | |
| Beverly Hills Outpatient Surgery Center Inc | Current | Accepting new patients | |
| Encino Diagnostic Imaging Inc | Nuclear Medicine | Current | Accepting new patients |
| Nuclear Medicine Imaging of San Jose, Inc | Nuclear Medicine | Current | Accepting new patients |
| Beverly Hills Medical Imaging | Nuclear Medicine | Current | Accepting new patients |
| Pacific Imaging Consultants, a Medical Group, Inc. | Past | Accepting new patients | |
| Silicon Valley Memory Clinic | Past | Accepting new patients |
Locations
50 N La Cienega Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 659-0989
50 N La Cienega Blvd
Ste 203
Beverly Hills, CA 90211
Phone (323) 988-0896
8530 Wilshire Blvd
Ste 200
Beverly Hills, CA 90211
Phone (510) 714-5209
16633 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 933-2580
16661 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 986-3472
2191 Mowry Ave
Ste 500H
Fremont, CA 94538
Phone (415) 595-8687
39120 Argonaut Way
Fremont, CA 94538
Phone (510) 378-3036
9436 Slauson Ave
Pico Rivera, CA 90660
Phone (562) 942-3230
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nuclear Medicine Physician
- Fremont, CA
- NPI 1376730358
-
- Diagnostic Radiology Physician
- Beverly Hills, CA
- NPI 1942713482
Nuclear Medicine
-
- Ambulatory Surgical Clinic/Center
- Beverly Hills, CA
- NPI 1699382523
-
- Diagnostic Radiology Physician
- Encino, CA
- NPI 1801655709
Nuclear Medicine
-
- Specialist
- Beverly Hills, CA
- NPI 1932530979
-
- Nuclear Medicine Physician
- San Jose, CA
- NPI 1811179062
-
- Specialist
- Fremont, CA
- NPI 1740520535
-
- Diagnostic Radiology Physician
- Beverly Hills, CA
- NPI 1518817634
-
- Diagnostic Radiology Physician
- Oakland, CA
- NPI 1265480099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198713600000",
"number": "1043276900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 SANTANA ROW",
"address_2": "APT 223",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282000",
"telephone_number": "415-595-8687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2191 MOWRY AVE",
"address_2": "SUITE 500-H",
"city": "FREMONT",
"state": "CA",
"postal_code": "945381725",
"telephone_number": "415-595-8687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDAK",
"first_name": "PUNEET",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-20",
"last_updated": "2007-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "CA",
"license": "A79514",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP ID",
"identifier": "ZZZ05957Z",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.