Active NPI
Rachna Kucheria, M.D.
- Family Medicine Physician
- Inglewood, CA
National Provider Identifier
1154499655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A79833
- Practice address
- 1091 S la Brea Ave
Inglewood, CA 90301 - Phone
- (310) 330-2960
- Fax
- (310) 330-2961
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A79833 | CA | Primary |
Addresses
Primary practice location
1091 S la Brea Ave
Inglewood, CA 90301
Mailing address
23430 Hawthorne Blvd
BLDG. 3, Suite 210
Torrance, CA 90505-4720
Phone (310) 802-6177
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FHC70843F | Medicaid | CA | |
| EAP70236F | Other | CA | EAPC |
| FHC70093F | Medicaid | CA | |
| FHC71046F | Medicaid | CA | |
| HAP70843F | Other | CA | FAMPACT |
| A79833 | Other | CA | LICENSE NUMBER |
| HAP70093F | Other | CA | FAMPACT |
| HAP71046F | Other | CA | FAMPACT |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180611001138 | CA | Order and Referring Only - Family Practice | 3678532413 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A79833 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roger L Huf MD a Medical Corp | Past | Accepting new patients | |
| South Bay Family Healthcare Center | Past | Accepting new patients |
Interoperability endpoints
- rachna.kucheria.p2@direct.hvvmg.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- Culver City, CA
- NPI 1376576033
-
- Federally Qualified Health Center (FQHC)
- Redondo Beach, CA
- NPI 1548301229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526342400000",
"number": "1154499655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23430 HAWTHORNE BLVD",
"address_2": "BLDG. 3, SUITE 210",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905054720",
"telephone_number": "310-802-6177",
"fax_number": "310-802-6178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1091 S LA BREA AVE",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "90301",
"telephone_number": "310-330-2960",
"fax_number": "310-330-2961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUCHERIA",
"first_name": "RACHNA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2018-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A79833",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FHC70843F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EAPC",
"identifier": "EAP70236F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FHC70093F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FHC71046F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMPACT",
"identifier": "HAP70843F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "A79833",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMPACT",
"identifier": "HAP70093F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FAMPACT",
"identifier": "HAP71046F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.