Omar Y Chaudhry, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

19158 Issued in CA

Practice address

11 Alexander St Ste D
Watsonville, CA 95076-4626

Phone

(831) 471-7814

Fax

(831) 708-0147

NPI assigned

Jun 23, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1063081073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 STEPHEN RD APT A",
            "city": "APTOS",
            "state": "CA",
            "postal_code": "950034667",
            "telephone_number": "831-454-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 ALEXANDER ST STE D",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950764626",
            "telephone_number": "831-471-7814",
            "fax_number": "831-708-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHRY",
        "first_name": "OMAR",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "19158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gil Chairez
• Pearl Chaiyarat, LMFT
• Cathleen Chandler-Eckhardt
• Chih-Ning Chang
• Danielle Chaplin
• Madalynn Chavez Soliday
• Jasmine Guadalupe Chavez-Ramirez
• Kiara Chavez
• Kimberly Chavez
• Manuel Chavez, FNP

• Acupuncturist in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.