Shahin Tissa Chandrasoma, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

A95830 Issued in CA

Practice address

1200 N State St
Room 5900
Los Angeles, CA 90033-1029

Phone

(323) 226-7335

NPI assigned

Feb 18, 2010

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Urology

Education

University of Southern California Keck School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pasadena Urological Medical Group 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Curing Hands Home Health, Inc Home health agency, Burbank, CA, CCN 059361
• Huntington Hospital Hospital, Pasadena, CA, CCN 050438

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shahin.chandrasoma.2@20420.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/20420/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pasadena Urological Medical Group

  • Urology Physician
  • Pasadena, CA
  • NPI 1548381577

  CA, Urology

  Medicare reassignment Care Compare group NPD
• Chandrasoma Surgical Inc

  • Urology Physician
  • Pasadena, CA
  • NPI 1487503967

  CA, Urology

  Medicare reassignment NPD
• Alameda Health System

  • General Acute Care Hospital
  • Oakland, CA
  • NPI 1396764353
  NPD (past)
• Providence Health System - Southern California

  • General Acute Care Hospital
  • Burbank, CA
  • NPI 1336173269
  NPD (past)
• Tarzana Medical Center LLC

  • General Acute Care Hospital
  • Tarzana, CA
  • NPI 1821250762
  NPD (past)

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

• Curing Hands Home Health Inc

  • Home Health Agency
  • Burbank, CA
  • NPI 1821301490
  Care Compare affiliation
• Pasadena Hospital Association, LTD

  • General Acute Care Hospital
  • Pasadena, CA
  • NPI 1407828429

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1104148014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST",
            "address_2": "ROOM 5900",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331029",
            "telephone_number": "323-226-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N STATE ST",
            "address_2": "ROOM 5900",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331029",
            "telephone_number": "323-226-7335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRASOMA",
        "first_name": "SHAHIN",
        "middle_name": "TISSA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A95830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gangadarshni Chandramohan, M.D.
• Brindha Chandran
• Inggrid Chandranata, ND
• Sukantha Chandrasekaran, PHD, D(ABMM)
• Janak Chandrasoma, M.D.
• Chang H Oh L.Ac Acupuncture Group Inc
• Chang Kattar Dental Corporation
• Sandra Chang Ptasinski, PH.D.
• Chang Sup Lee MD PC
• Chang Woo Lee, D.D.S., Professional Corporation

• All providers in Los Angeles, CA
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.