Marc D. Chalet, MD, Inc.

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

G38996 Issued in CA

Legal business name

MARC D. CHALET, MD, INC.

Practice address

2811 Wilshire Blvd
Suite 615
Santa Monica, CA 90403-4803

Phone

(310) 202-6204

Fax

(310) 202-0831

NPI assigned

Sep 7, 2007

Organization subpart

No

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

Authorized official

Name

Marc D Chalet, M.D.NPI 1780613588

Title

Owner

Phone

(310) 202-6204

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc David Chalet, M.D.

  • Dermatopathology Physician
  • Santa Monica, CA
  • NPI 1780613588
  NPD (past) Authorized official

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1114112711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BLVD",
            "address_2": "SUITE 615",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034803",
            "telephone_number": "310-202-6204",
            "fax_number": "310-202-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BLVD",
            "address_2": "SUITE 615",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034803",
            "telephone_number": "310-202-6204",
            "fax_number": "310-202-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC D. CHALET, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "CHALET",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-202-6204",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "G38996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jetrina Sabado Maque
• Glenda Maramba, L.AC.
• Nilofar Marashi
• Denise Maratos
• Marc D Wishingrad MD Inc
• Daniella Marcellus
• Michelle March-Osoria, M.S., CCC-SLP
• Jade Alexa Renee March
• Minka Marcom-Rehwald, M.A.
• Mary M Marfisee, M.D.

• Dermatopathology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Dermatopathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.