Individual provider Active NPI

Kamini Shyam Chari, M.D.

  • Internal Medicine Physician
  • Covina, CA
National Provider Identifier
1265489280
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A045225 Issued in CA
Practice address
315 N 3Rd Ave Ste 301
Covina, CA 91723-1916
Phone
(626) 967-4469
Fax
(626) 967-4889
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A045225 CA Primary

Addresses

Primary practice location

315 N 3Rd Ave Ste 301
Covina, CA 91723-1916

Mailing address

315 N 3Rd Ave Ste 301
Covina, CA 91723-1916
Phone (626) 967-4469

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
I20060622000164 CA Practitioner - Internal Medicine 7810909462

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A045225CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California Irvine Past Accepting new patients
San Dimas Community Hospital, Inc. Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1265489280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N 3RD AVE STE 301",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231916",
            "telephone_number": "626-967-4469",
            "fax_number": "626-967-4889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N 3RD AVE STE 301",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231916",
            "telephone_number": "626-967-4469",
            "fax_number": "626-967-4889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARI",
        "first_name": "KAMINI",
        "middle_name": "SHYAM",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A045225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.