Alexandra a Chrysanthis M D Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A62293 Issued in CA

Legal business name

ALEXANDRA A CHRYSANTHIS M D INC

Practice address

10861 Cherry St # 210
Los Alamitos, CA 90720-5402

Phone

(562) 795-6406

Fax

(562) 795-6409

NPI assigned

Jul 7, 2015

Organization subpart

No

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

Authorized official

Name

Alexandra A ChrysanthisNPI 1588734974

Title

Owner

Phone

(562) 795-6406

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Alexandra A Chrysanthis, MD

  • Internal Medicine Physician
  • Los Alamitos, CA
  • NPI 1588734974
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1184007254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10861 CHERRY ST # 210",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205402",
            "telephone_number": "562-795-6406",
            "fax_number": "562-795-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10861 CHERRY ST # 210",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205402",
            "telephone_number": "562-795-6406",
            "fax_number": "562-795-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDRA A CHRYSANTHIS M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "CHRYSANTHIS",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-795-6406"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A62293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.