Individual provider Active NPI

Mirna R Chambi, MD

  • Family Medicine Physician
  • Buena Park, CA
National Provider Identifier
1104853514
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A53149 Issued in CA
Practice address
7151 Lincoln Ave
Suite a & B
Buena Park, CA 90620-4613
Phone
(714) 821-6506
Fax
(714) 229-0476
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A53149 CA Primary

Addresses

Primary practice location

7151 Lincoln Ave
Suite a & B
Buena Park, CA 90620-4613

Mailing address

PO Box 2045
Yorba Linda, CA 92885-1245
Phone (714) 821-6506

Other identifiers 1

IdentifierTypeStateIssuer
00A531490MedicaidCA

Other names 1

  • Mirna R Ramos Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081104000731 CA Practitioner - Family Practice 6305905423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7151 Lincoln Ave
Suite Ab
Buena Park, CA 90620-4613
Phone (714) 821-6506

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A53149CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mirna R Chambi MD Inc Family Medicine CurrentSince Jan 1, 2008 Accepting new patients
Mirna R Chambi MD Inc Family Medicine CurrentSince Jan 1, 2008 Accepting new patients
Bakersfield Memorial Hospital Past Accepting new patients
Centinela Freeman Emergency Medical Associates Past Accepting new patients
Max Franklin Lebow, a Medical Corporation Past Accepting new patients

Locations

1420 Crestmont Dr
Bakersfield, CA 93306
Phone (661) 873-7515

7151 Lincoln Ave
Ste Ab
Buena Park, CA 90620
Phone (714) 821-6506

7151 Lincoln Ave
Ste B
Buena Park, CA 90620
Phone (714) 821-6506

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1104853514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2045",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928851245",
            "telephone_number": "714-821-6506",
            "fax_number": "714-229-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7151 LINCOLN AVE",
            "address_2": "SUITE A & B",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204613",
            "telephone_number": "714-821-6506",
            "fax_number": "714-229-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBI",
        "first_name": "MIRNA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A53149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A531490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRNA",
            "last_name": "RAMOS",
            "middle_name": "R",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buena Park, CA

Sources for this page

Verify at the official NPI Registry.