Active NPI
John R Chalison MD a Medical Corporation
- Pulmonary Disease Physician
- Los Angeles, CA
National Provider Identifier
1063459477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- JOHN R CHALISON MD A MEDICAL CORPORATION
- Practice address
- 616 Witmer St
Los Angeles, CA 90017-2308 - Phone
- (213) 977-2121
- NPI assigned
- Jun 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John R Chalison, MD
- Title
- Owner
- Phone
- (213) 977-2121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary |
Addresses
Primary practice location
616 Witmer St
Los Angeles, CA 90017-2308
Mailing address
PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725
Other practice location 1
2131 W 3rd St
Los Angeles, CA 90057-1901
Phone (213) 484-7111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0058510 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
201 S Alvarado St
Ste 825
Los Angeles, CA 90057
Phone (213) 484-1300
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Los Angeles, CA
- NPI 1255366837
-
- Pulmonary Disease Physician
- Los Angeles, CA
- NPI 1952472037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1525996800000",
"number": "1063459477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7096",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952670096",
"telephone_number": "209-956-7725",
"fax_number": "209-956-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 WITMER ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900172308",
"telephone_number": "213-977-2121"
}
],
"practiceLocations": [
{
"address_1": "2131 W 3rd St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900571901",
"country_code": "US",
"telephone_number": "213-484-7111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JOHN R CHALISON MD A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-02",
"last_updated": "2018-05-11",
"status": "A",
"authorized_official_last_name": "CHALISON",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "213-977-2121",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0058510",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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- John P Kelly MD a Professional Medical Corporation
- John P. Anderson MD, Russell M. Perry MD, and Mark a. Sharzer, AMC
- John Pedersen D D S Inc
- John Tracy Clinic
- John W Chang MD Medical Corporation
- John Y Jacobs OD Inc
- Brian John Jr., FNP-BC
- Heather Varughese John, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.