Individual provider Active NPI

Puneet Chandak, M.D.

  • Nuclear Medicine Physician
  • Fremont, CA
National Provider Identifier
1043276900
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
A79514 Issued in CA
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ZZZ05957ZOtherMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040415000996 CA Practitioner - Nuclear MedicinePractitioner - Diagnostic Radiology 3274528740 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nuclear MedicineAlso: Diagnostic Radiology
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 100Reported as group
Quality
71.67
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
97.18 of 100Reported as individual
Quality
78.33
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A79514CAMDNuclear Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silicon Valley Medical Imaging Inc a Medical Corporation Nuclear Medicine CurrentSince Oct 4, 2007 Accepting new patients
Beverly Wilshire Medical Imaging PC CurrentSince Aug 10, 2026 Accepting new patients
Beverly Hills Outpatient Surgery Center Inc CurrentSince Jul 1, 2020 Accepting new patients
Encino Diagnostic Imaging Inc Nuclear Medicine CurrentSince Mar 14, 2024 Accepting new patients
Nuclear Medicine Imaging of San Jose, Inc Nuclear Medicine CurrentSince Jun 23, 2012 Accepting new patients
Beverly Hills Medical Imaging Nuclear Medicine CurrentSince Apr 30, 2017 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.

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

Verify at the official NPI Registry.