Individual provider Active NPI

Sreedhar Chava, MD

  • Family Medicine Physician
  • El Monte, CA
National Provider Identifier
1255515383
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A102291 Issued in CA
Practice address
3580 Santa Anita Ave
St # a
El Monte, CA 91731-2455
Phone
(626) 444-2660
Fax
(626) 448-1002
NPI assigned
Dec 26, 2007
Last updated
Jan 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A102291 CA Primary

Addresses

Primary practice location

3580 Santa Anita Ave
St # a
El Monte, CA 91731-2455

Mailing address

3580 Santa Anita Avenue
St # a
El Monte, CA 91731
Phone (626) 444-2660

Other identifiers 1

IdentifierTypeStateIssuer
A102291MedicaidCA

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
I20090413000272 CA Practitioner - Family PracticePractitioner - Pediatric Medicine 9931256872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3580 Santa Anita Ave
Suite a
El Monte, CA 91731-2455
Phone (626) 444-2660

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A102291CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sreedhar Chava MD Inc Family Medicine CurrentSince Jan 12, 2009 Accepting new patients
Sreedhar Chava MD Inc Family Medicine CurrentSince Jan 12, 2009 Accepting new patients
Sreedhar Chava MD Inc Family Medicine Past Accepting new patients

Locations

3580 Santa Anita Ave
Ste A
El Monte, CA 91731
Phone (626) 444-2660

1651 N Hacienda Blvd
La Puente, CA 91744
Phone (626) 917-8700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231200000000",
    "number": "1255515383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 SANTA ANITA AVENUE",
            "address_2": "ST # A",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "91731",
            "telephone_number": "626-444-2660",
            "fax_number": "626-448-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 SANTA ANITA AVE",
            "address_2": "ST # A",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312455",
            "telephone_number": "626-444-2660",
            "fax_number": "626-448-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVA",
        "first_name": "SREEDHAR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-26",
        "last_updated": "2009-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A102291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A102291",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

Verify at the official NPI Registry.