Organization Active NPI

Chander Medical Associates

  • Nephrology Physician
  • South Gate, CA
National Provider Identifier
1083649537
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
20A8521 Issued in CA
Legal business name
CHANDER MEDICAL ASSOCIATES
Practice address
9844 Atlantic Ave
Suite #a
South Gate, CA 90280-5219
Phone
(310) 631-3502
Fax
(310) 631-5143
NPI assigned
Jul 12, 2006
Last updated
Jan 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Authorized official

Name
Dr. Wen-Yuan Marieanne Chiang, D.O.NPI 1295753655
Title
President
Phone
(310) 493-8505

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A8521 CA
Nephrology Physician 207RN0300X 20A8521 CA Primary

Addresses

Primary practice location

9844 Atlantic Ave
Suite #a
South Gate, CA 90280-5219

Mailing address

PO Box 3547
Cerritos, CA 90703-3547
Phone (310) 631-3502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061031000337 CA Part B Supplier - Clinic/Group Practice 3779580923 Receives reassigned benefits from 1 practitioner
Practice locations: South Gate, CA

National Provider Directory

National Provider Directory

Locations

3625 Martin Luther King Jr Blvd
Ste 3
Lynwood, CA 90262
Phone (310) 493-8505

9844 Atlantic Ave
Ste A
South Gate, CA 90280
Phone (310) 493-8505

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453939200000",
    "number": "1083649537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3547",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907033547",
            "telephone_number": "310-631-3502",
            "fax_number": "310-631-5143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9844 ATLANTIC AVE",
            "address_2": "SUITE #A",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902805219",
            "telephone_number": "310-631-3502",
            "fax_number": "310-631-5143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANDER MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-01-28",
        "status": "A",
        "authorized_official_last_name": "CHIANG",
        "authorized_official_first_name": "WEN-YUAN",
        "authorized_official_middle_name": "MARIEANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-493-8505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A8521",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "20A8521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Gate, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.