Individual provider Active NPI

Nathaniel Colm Chase, AGACNP

  • Acute Care Nurse Practitioner
  • Inglewood, CA
National Provider Identifier
1255959268
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95014799 Issued in CA
Practice address
555 E Hardy St
Inglewood, CA 90301-4011
Phone
(562) 336-6173
NPI assigned
Jul 7, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2100X 95014799 CA Primary

Addresses

Primary practice location

555 E Hardy St
Inglewood, CA 90301-4011

Mailing address

3853 N Greenbrier Rd
Long Beach, CA 90808-1815
Phone (562) 336-6173

Other practice location 1

8540 S Sepulveda Blvd Ste 1010
Los Angeles, CA 90045-3808
Phone (310) 295-0075

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200902002302 CA Practitioner - Nurse Practitioner 3476970666 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arcadia Intensivist Group Inc.Group PAC ID 9537574223, 25 clinicians
Desert Trauma Surgeons IncGroup PAC ID 0547366106, 36 clinicians

Practice addresses (Care Compare)

300 W Hungtington Dr
Arcadia, CA 91007-3402
Phone (606) 898-8000

3630 E Imperial Hwy
Lynwood, CA 90262-2609
Phone (310) 900-8900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Corona Hospitalist Medical Group, Inc. Single Specialty CurrentSince Apr 17, 2023 Accepting new patients
Desert Trauma Surgeons, Inc. Single Specialty CurrentSince May 22, 2024 Accepting new patients
Pulmonary Consultants and Wellness Center Inc PC Single Specialty CurrentSince Aug 16, 2020 Accepting new patients
Arcadia Intensivist Group, Inc. Single Specialty CurrentSince Mar 1, 2023 Accepting new patients

Locations

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191

555 E Hardy St
Inglewood, CA 90301
Phone (310) 419-8636

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

8540 S Sepulveda Blvd
Ste 1010
Los Angeles, CA 90045
Phone (310) 216-1007

3630 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 900-7420

Organizations & group practices 4

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": "1594080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1255959268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3853 N GREENBRIER RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081815",
            "telephone_number": "562-336-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E HARDY ST",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014011",
            "telephone_number": "562-336-6173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8540 S Sepulveda Blvd Ste 1010",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900453808",
            "country_code": "US",
            "telephone_number": "310-295-0075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHASE",
        "first_name": "NATHANIEL",
        "middle_name": "COLM",
        "credential": "AGACNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95014799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.