Active NPI
Stephanie A Chamani, PA-C
- Physician Assistant
- Chino Hills, CA
National Provider Identifier
1104949858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA16024
- Practice address
- 14740 Pipeline Ave Ste D
Suite D
Chino Hills, CA 91709-1293 - Phone
- (909) 393-3005
- Fax
- (909) 393-3006
- NPI assigned
- Apr 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA16024 | CA | Primary |
Addresses
Primary practice location
14740 Pipeline Ave Ste D
Suite D
Chino Hills, CA 91709-1293
Mailing address
14740 Pipeline Ave Ste D
Suite D
Chino Hills, CA 91709-1293
Phone (909) 393-3005
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160311002170 | CA | Order and Referring Only - Physician Assistant | 7416253786 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA16024 | CA | MD | Physician Assistant |
| 16024 | CA | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405555200000",
"number": "1104949858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14740 PIPELINE AVE STE D",
"address_2": "SUITE D",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917091293",
"telephone_number": "909-393-3005",
"fax_number": "909-393-3006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14740 PIPELINE AVE STE D",
"address_2": "SUITE D",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917091293",
"telephone_number": "909-393-3005",
"fax_number": "909-393-3006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMANI",
"first_name": "STEPHANIE",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2014-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA16024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chino Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.