Resa Louise Chase, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

G41075 Issued in CA

Practice address

11201 Benton Street
Loma Linda VA Med Center, Lab Med (113)
Loma Linda, CA 92357

Phone

(909) 583-6099

Fax

(909) 777-3224

NPI assigned

Aug 9, 2006

Sex

Female

Sole proprietor

No

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316957418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 BENTON STREET",
            "address_2": "LOMA LINDA VA MED CENTER, LAB MED (113)",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "92357",
            "telephone_number": "909-583-6099",
            "fax_number": "909-777-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 BENTON STREET",
            "address_2": "LOMA LINDA VA MED CENTER, LAB MED (113)",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "92357",
            "telephone_number": "909-583-6099",
            "fax_number": "909-777-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "RESA",
        "middle_name": "LOUISE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G41075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G410750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Chao, CRNA
• Janessa Ann Charles-Marcel, MD
• Melissa S Charles, MD, PHD
• Carrie Charlton, M.D.
• Alissa Charvonia
• Payush Chatta
• Brian Chau, MD
• Minh-Hang Chau, M.D.
• Tony Tot Van Chau, PHARM.D.
• Trinh My Chau, PHARM.D.

• Anatomic Pathology & Clinical Pathology Physician in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.