Active NPI
Kenneth S. Chuang, M.D.
- Psychiatry Physician
- Los Angeles, CA
National Provider Identifier
1053487553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A61254
- Practice address
- 11080 W Olympic Blvd
4TH Floor
Los Angeles, CA 90064-1937 - Phone
- (310) 966-6513
- NPI assigned
- Nov 27, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A61254 | CA | Primary |
Addresses
Primary practice location
11080 W Olympic Blvd
4TH Floor
Los Angeles, CA 90064-1937
Mailing address
11080 W Olympic Blvd
4TH Floor
Los Angeles, CA 90064-1937
Phone (310) 966-6521
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
| License | State | Type | Specialty |
|---|---|---|---|
| A61254 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365120000000",
"number": "1053487553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11080 W OLYMPIC BLVD",
"address_2": "4TH FLOOR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641937",
"telephone_number": "310-966-6521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11080 W OLYMPIC BLVD",
"address_2": "4TH FLOOR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641937",
"telephone_number": "310-966-6513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUANG",
"first_name": "KENNETH",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-27",
"last_updated": "2013-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A61254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.