NPIMap

Individual provider Active NPI

Tha Cha, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Fresno, CA
National Provider Identifier
1073547824
Registry record updated Apr 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A84894 Issued in CA
Practice address
125 E Barstow Ave Ste 118
Fresno, CA 93710-5023
Phone
(559) 486-5290
Fax
(559) 486-5630
NPI assigned
Jul 10, 2006
Last updated
Apr 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A84894 CA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A84894 CA
Physical Medicine & Rehabilitation Physician 208100000X A84894 CA Primary

Addresses

Primary practice location

125 E Barstow Ave Ste 118
Fresno, CA 93710-5023

Mailing address

125 E Barstow Ave Ste 118
Fresno, CA 93710-5023
Phone (559) 486-5290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051206000412 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Internal Medicine 5890715874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

125 E Barstow Ave
Suite 118
Fresno, CA 93710-5023
Phone (559) 779-9743

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.89 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
72.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A84894CAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kern Faculty Medical Group Internal Medicine Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1073547824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E BARSTOW AVE STE 118",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105023",
            "telephone_number": "559-486-5290",
            "fax_number": "559-486-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E BARSTOW AVE STE 118",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105023",
            "telephone_number": "559-486-5290",
            "fax_number": "559-486-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHA",
        "first_name": "THA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A84894",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A84894",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A84894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.