Active NPI
Cynthia Chaghouri, PA
- Physician Assistant
- Los Angeles, CA
National Provider Identifier
1124337910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA 21065
- Practice address
- 3009 S Vermont Ave
Los Angeles, CA 90007-3033 - Phone
- (323) 730-1663
- Fax
- (323) 730-9961
- NPI assigned
- Sep 28, 2010
- 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 | PA 21065 | CA | Primary |
Addresses
Primary practice location
3009 S Vermont Ave
Los Angeles, CA 90007-3033
Mailing address
3009 S Vermont Ave
Los Angeles, CA 90007-3033
Phone (323) 730-1663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 21065 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294272000000",
"number": "1124337910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3009 S VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900073033",
"telephone_number": "323-730-1663",
"fax_number": "323-730-9961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3009 S VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900073033",
"telephone_number": "323-730-1663",
"fax_number": "323-730-9961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAGHOURI",
"first_name": "CYNTHIA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-28",
"last_updated": "2011-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA 21065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jan 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.