Organization Active NPI

Shaun E Chandran M D Inc

  • Orthopaedic Surgery Physician
  • Torrance, CA
National Provider Identifier
1144566563
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
SHAUN E CHANDRAN M D INC
Practice address
4201 Torrance Blvd Ste 310
Torrance, CA 90503-4533
Phone
(310) 644-1151
Fax
(310) 644-3115
NPI assigned
Dec 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
Shaun ChandranNPI 1023205077
Title
MD
Phone
(310) 644-1151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

4201 Torrance Blvd Ste 310
Torrance, CA 90503-4533

Mailing address

1360 W 6TH Street
Suite 305
San Pedro, CA 90732
Phone (310) 833-2406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130201000033 CA Part B Supplier - Clinic/Group Practice 1456505213 Receives reassigned benefits from 1 practitioner
Practice locations: San Pedro, CA

National Provider Directory

National Provider Directory

Locations

4201 Torrance Blvd
Ste 310
Torrance, CA 90503
Phone (310) 644-1151

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1144566563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 W 6TH STREET",
            "address_2": "SUITE 305",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "90732",
            "telephone_number": "310-833-2406",
            "fax_number": "310-519-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 TORRANCE BLVD STE 310",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034533",
            "telephone_number": "310-644-1151",
            "fax_number": "310-644-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAUN E CHANDRAN M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-13",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "CHANDRAN",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "310-644-1151"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.