Active NPI
Bala S Chandrasekhar, MD
- Plastic and Reconstructive Surgery Physician
- Arcadia, CA
National Provider Identifier
1215966981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- A40065
- Practice address
- 255 E. Santa Clara St.
Suite 310
Arcadia, CA 91006-7233 - Phone
- (626) 447-1092
- Fax
- (626) 447-4125
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | A40065 | CA | Primary |
Addresses
Primary practice location
255 E. Santa Clara St.
Suite 310
Arcadia, CA 91006-7233
Mailing address
255 E. Santa Clara St.
Suite 310
Arcadia, CA 91006-7233
Phone (626) 447-1092
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A400650 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usc Surgeons, Inc. | Past | Accepting new patients |
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.
-
- Surgery Physician
- Los Angeles, CA
- NPI 1821034315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264550400000",
"number": "1215966981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 E. SANTA CLARA ST.",
"address_2": "SUITE 310",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910067233",
"telephone_number": "626-447-1092",
"fax_number": "626-447-4125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 E. SANTA CLARA ST.",
"address_2": "SUITE 310",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910067233",
"telephone_number": "626-447-1092",
"fax_number": "626-447-4125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDRASEKHAR",
"first_name": "BALA",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2010-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "CA",
"license": "A40065",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A400650",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.