NPIMap

Organization Active NPI

M Chegounchi MD Inc

  • Nephrology Physician
  • Los Angeles, CA
National Provider Identifier
1114428372
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A80479 Issued in CA
Legal business name
M CHEGOUNCHI MD INC
Practice address
11860 Wilshire Blvd Ste 100
Los Angeles, CA 90025-6606
Phone
(310) 473-3030
Fax
(310) 473-4848
NPI assigned
Feb 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Authorized official

Name
Marjan Chegounchi, MD
Title
President
Phone
(310) 473-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X A80479 CA Primary

Addresses

Primary practice location

11860 Wilshire Blvd Ste 100
Los Angeles, CA 90025-6606

Mailing address

11860 Wilshire Blvd Ste 100
Los Angeles, CA 90025-6606
Phone (310) 473-3030

Other names 2

  • Brentwood EECP Center Doing business as
  • Los Angeles EECP Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1519344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1114428372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11860 WILSHIRE BLVD STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256606",
            "telephone_number": "310-473-3030",
            "fax_number": "310-473-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11860 WILSHIRE BLVD STE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256606",
            "telephone_number": "310-473-3030",
            "fax_number": "310-473-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M CHEGOUNCHI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-23",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "CHEGOUNCHI",
        "authorized_official_first_name": "MARJAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-473-3030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A80479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brentwood EECP Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Los Angeles EECP Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Los Angeles EECP Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.