Active NPI
Racha Chamlati
- Psychiatry Physician
- Fullerton, CA
National Provider Identifier
1215599337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A182414
- Practice address
- 2501 E Chapman Ave Ste 265
Fullerton, CA 92831-3108 - Phone
- (714) 706-0206
- Fax
- (949) 258-3742
- NPI assigned
- Jun 29, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A182414 | CA | Primary |
Addresses
Primary practice location
2501 E Chapman Ave Ste 265
Fullerton, CA 92831-3108
Mailing address
2501 E Chapman Ave Ste 265
Fullerton, CA 92831-3108
Phone (714) 706-0206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A182414 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1215599337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 E CHAPMAN AVE STE 265",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928313108",
"telephone_number": "714-706-0206",
"fax_number": "949-258-3742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 E CHAPMAN AVE STE 265",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928313108",
"telephone_number": "714-706-0206",
"fax_number": "949-258-3742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMLATI",
"first_name": "RACHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-29",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A182414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.