Individual provider Active NPI

Israel Pedro Chambi, M.D.

  • Specialist
  • Santa Ana, CA
National Provider Identifier
1205870565
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A34163 Issued in CA
Practice address
801 N Tustin Ave
Suite 406
Santa Ana, CA 92705-3612
Phone
(714) 973-0810
Fax
(714) 973-0840
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A34163 CA Primary

Addresses

Primary practice location

801 N Tustin Ave
Suite 406
Santa Ana, CA 92705-3612

Mailing address

112 S Montgomery Way
Anaheim, CA 92807-3500
Phone (714) 973-0810

Other identifiers 1

IdentifierTypeStateIssuer
00A341630MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100513000721 CA Practitioner - Neurosurgery 2668500521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
National Medical University, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

801 N Tustin Ave
Suite 406
Santa Ana, CA 92705-3608
Phone (714) 973-0810

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion25
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A34163CAMDSpecialist
34163CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Israel P Chambi M D & Medical Associates Inc CurrentSince Jan 3, 1997 Accepting new patients

Locations

801 N Tustin Ave
Ste 406
Santa Ana, CA 92705
Phone (714) 824-8840

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1205870565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S MONTGOMERY WAY",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928073500",
            "telephone_number": "714-973-0810",
            "fax_number": "714-973-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE",
            "address_2": "SUITE 406",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053612",
            "telephone_number": "714-973-0810",
            "fax_number": "714-973-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBI",
        "first_name": "ISRAEL",
        "middle_name": "PEDRO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A34163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A341630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.