Individual provider Active NPI

Nicole Amelie Chauche, M.D.

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1053452300
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G46606 Issued in CA
Practice address
9974 Scripps Ranch Blvd
363
San Diego, CA 92131-1825
Phone
(858) 279-1212
Fax
(858) 279-1420
NPI assigned
Feb 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G46606 CA Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X G46606 CA

Addresses

Primary practice location

9974 Scripps Ranch Blvd
363
San Diego, CA 92131-1825

Mailing address

9974 Scripps Ranch Blvd
363
San Diego, CA 92131-1825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46606CAMDMarriage & Family Therapist
G46606CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GN Medical Associates, Inc. Family Medicine PastSince Apr 1, 2007 Accepting new patients
Home Physicians Medical Group, Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10731/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255392000000",
    "number": "1053452300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9974 SCRIPPS RANCH BLVD",
            "address_2": "363",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9974 SCRIPPS RANCH BLVD",
            "address_2": "363",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921311825",
            "telephone_number": "858-279-1212",
            "fax_number": "858-279-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUCHE",
        "first_name": "NICOLE",
        "middle_name": "AMELIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2009-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G46606",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "G46606",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.