Alphonso Chislom Jr., R.C.P.

Primary specialty

Certified Respiratory TherapistTaxonomy code 227800000X

License

00017933 Issued in CA

Practice address

5880 Fair Isle Dr Apt 283
Riverside, CA 92507-8462

Phone

(951) 378-2083

Fax

(951) 786-7726

NPI assigned

May 8, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Airtime Respiratory Care

  • Hospitalist Physician
  • Riverside, CA
  • NPI 1093019606
  Authorized official Same address or phone

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210204800000",
    "number": "1275700312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 FAIR ISLE DR APT 283",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925078462",
            "telephone_number": "951-378-2083",
            "fax_number": "951-786-7726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 FAIR ISLE DR APT 283",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925078462",
            "telephone_number": "951-378-2083",
            "fax_number": "951-786-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISLOM",
        "first_name": "ALPHONSO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "R.C.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-08",
        "last_updated": "2008-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "CA",
            "license": "00017933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA. STATE LICENSE",
            "identifier": "00017933",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shiuh-Dong Chiou
• Chirag Dalal DDS, Inc
• Chiraz Health & Beauty Clinic, Inc
• Denita Chirkov
• Caitlin Chisholm, M.S.
• Channel Devon Chislom
• Kwamina Chislom
• Runa Chislum, CRNA
• Garrett Preston Chism
• Shaun Chisolm

• Certified Respiratory Therapist in Riverside, CA
• Providers in Riverside, CA by specialty
• Certified Respiratory Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.