Caroucel Kim Chuateco, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A85249 Issued in CA

Practice address

1663 Beverly Blvd Ste 101
Los Angeles, CA 90026-5747

Phone

(213) 250-0235

Fax

(213) 250-0439

NPI assigned

Jul 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1235283094
  Medicare reassignment NPD
• Central City Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Upland, CA
  • NPI 1174996318
  NPD
• Scales Medical Services Incorporated

  • Physical Medicine & Rehabilitation Physician
  • Pasadena, CA
  • NPI 1619246931
  NPD (past)
• Sherman P Rosove, MD, a Professional

  • Cardiovascular Disease Physician
  • Los Angeles, CA
  • NPI 1881795458
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174554059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1663 BEVERLY BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265747",
            "telephone_number": "213-250-0235",
            "fax_number": "213-250-0439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 BEVERLY BLVD STE 101",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900265747",
            "telephone_number": "213-250-0235",
            "fax_number": "213-250-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUATECO",
        "first_name": "CAROUCEL",
        "middle_name": "KIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A85249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A85249",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jody Chouying Chuang, M.D, PH.D.
• Kelley Chuang, M.D.
• Kenneth S. Chuang, M.D.
• Shang-Tian Chuang, DO
• Tiffany Chuang, PHARM.D.
• Christopher G Chuateco, OTR/L
• Waldo Chuc
• Carl Richard Chudnofsky, MD
• Jeffrey Chudnofsky
• Johnson Chuen

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.