Individual provider Active NPI

Sumera Chaggan, PA

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Torrance, CA
National Provider Identifier
1144702887
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
55885 Issued in CA
Practice address
23150 Crenshaw Blvd # 100
Torrance, CA 90505-3025
Phone
(310) 437-7399
NPI assigned
Aug 29, 2018
Last updated
May 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 55885 CA
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 55885 CA Primary

Addresses

Primary practice location

23150 Crenshaw Blvd # 100
Torrance, CA 90505-3025

Mailing address

23150 Crenshaw Blvd # 100
Torrance, CA 90505-3025
Phone (310) 437-7399

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190221002740 CA Practitioner - Physician Assistant 6305185117 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Algos Inc., a Medical Corporation Pain Medicine CurrentSince Sep 29, 2018 Accepting new patients
Algos Inc., a Medical Corporation Pain Medicine CurrentSince Sep 29, 2018 Accepting new patients
Algos Inc., a Medical Corporation Past Accepting new patients
Revivex Healthcare Inc Pain Medicine PastSince May 21, 2023 Accepting new patients

Locations

891 Kuhn Dr
Ste 106
Chula Vista, CA 91914
Phone (619) 761-5308

1127 Wilshire Blvd
Ste 800
Los Angeles, CA 90017
Phone (213) 241-7250

1400 S Grand Ave
Ste 707
Los Angeles, CA 90015
Phone (213) 839-1119

1017 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 403-6200

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1144702887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23150 CRENSHAW BLVD # 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053025",
            "telephone_number": "310-437-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23150 CRENSHAW BLVD # 100",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053025",
            "telephone_number": "310-437-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAGGAN",
        "first_name": "SUMERA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "55885",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "55885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.