Edward Chock, M.D.
Individual provider Active NPI Specialist · Oakdale, CA
NPI 1154423994 · NPPES record last updated Sep 10, 2014
Key facts
- NPI
- 1154423994
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- G37486 (CA)
- Practice address
- 1390 W H St Ste B
Oakdale, CA 95361-3529 - Phone
- (209) 847-2201
- NPI assigned
- Sep 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 5
Owned or controlled facilities with NPI records 6
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1390 W H St
Suite B
Oakdale, CA 95361-3529
Phone (209) 847-2201
Hospital & facility affiliations
- Careone Home Health and Hospice, Inc
- Oak Valley Hospital District
- Memorial Medical Center
- Doctors Medical Center
- Oakdale Nursing and Rehabilitation Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 20.16 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 67.2
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 6
| Facility | Type | Role | Since |
|---|---|---|---|
| Oak Valley District Hospital |
Hospital | Corporate Director | Nov 1, 2006 |
| Oakdale Nursing & Rehabilitation Center |
Skilled nursing facility | Corporate Director | Jul 30, 2007 |
| Escalon Community Health Clinic |
Rural health clinic | Corporate Director | Nov 1, 2011 |
| Riverbank Community Health Center |
Rural health clinic | Corporate Director | Nov 1, 2006 |
| Oakdale Community Health Center |
Rural health clinic | Corporate Director | Nov 1, 2006 |
| Waterford Community Health Center |
Rural health clinic | Corporate Director | Nov 15, 2010 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091104000610 | CA | Practitioner - General Surgery |
7911099395 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G37486 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Oak Valley Hospital District | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G37486 | CA | Yes |
Addresses
Primary practice location
1390 W H St Ste B
Oakdale, CA 95361-3529
Mailing address
1390 W H St
Ste B
Oakdale, CA 95361-3570
Phone (209) 847-2201
NPI Registry JSON
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410307200000",
"number": "1154423994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1390 W H ST",
"address_2": "STE B",
"city": "OAKDALE",
"state": "CA",
"postal_code": "953613570",
"telephone_number": "209-847-2201",
"fax_number": "209-847-0975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1390 W H ST STE B",
"city": "OAKDALE",
"state": "CA",
"postal_code": "953613529",
"telephone_number": "209-847-2201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOCK",
"first_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-02",
"last_updated": "2014-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G37486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.