Organization Active NPI

Whittier Pulmonary and Critical Care Medical Group, Inc.

  • Pulmonary Disease Physician
  • Whittier, CA
National Provider Identifier
1255538773
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G18915 Issued in CA
Legal business name
WHITTIER PULMONARY AND CRITICAL CARE MEDICAL GROUP, INC.
Practice address
12462 Putnam St
Suite 208
Whittier, CA 90602-1049
Phone
(562) 789-5470
NPI assigned
Jun 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Authorized official

Name
Dr. Nadeem Chishti, MDNPI 1700815461
Title
President
Phone
(562) 789-5470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X G18915 CA Primary

Addresses

Primary practice location

12462 Putnam St
Suite 208
Whittier, CA 90602-1049

Mailing address

PO Box 511255
Los Angeles, CA 90051-7810
Phone (562) 789-5470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080225000657 CA Part B Supplier - Clinic/Group Practice 8022192376 Receives reassigned benefits from 18 practitioners
Practice locations: Whittier, CA; Downey, CA

National Provider Directory

National Provider Directory

Locations

12472 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0082

Practitioners & affiliated clinicians

Practitioners 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1255538773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511255",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900517810",
            "telephone_number": "562-789-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12462 PUTNAM ST",
            "address_2": "SUITE 208",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021049",
            "telephone_number": "562-789-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITTIER PULMONARY AND CRITICAL CARE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "CHISHTI",
        "authorized_official_first_name": "NADEEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-789-5470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G18915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.