Vache Chakmakian, M.D.
Individual provider Active NPI Family Medicine Physician · Ontario, CA
NPI 1316974652 · NPPES record last updated Sep 29, 2020
Key facts
- NPI
- 1316974652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- G61948 (CA)
- Practice address
- 437 N Euclid Ave
Ontario, CA 91762-3456 - Phone
- (909) 988-2555
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 26
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Southern California Keck School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dap Health Inc
Practice addresses (Care Compare)
49869 Calhoun St
FL 1
Coachella, CA 92236-9720
Phone (760) 399-4526
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041203000329 | CA | Practitioner - Family Practice |
1951367754 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G61948 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dap Health, Inc. | Single Specialty | Current | Accepting new patients |
| Dap Health, Inc. | Family Medicine | Current |
Accepting new patients |
| Dap Health, Inc. | Current |
Accepting new patients | |
| Desert Medical Group, Inc. | Single Specialty | Current |
Accepting new patients |
| Dap Health Inc. | Single Specialty | Current | Accepting new patients |
| Texas Emergency Room Services, PA | Single Specialty | Past | Accepting new patients |
| Hondo Emergency Physicians PLLC | Single Specialty | Past | Accepting new patients |
| Cor Emergency Physicians | Single Specialty | Past | Accepting new patients |
| Joshua Tree Emergency Physicians Medical Group, Inc | Single Specialty | Past | Accepting new patients |
| Colusa Emergency Physicians Medical Group, Inc. | Single Specialty | Past | Accepting new patients |
| Abk Emergency Physicians PLLC | Single Specialty | Past | Accepting new patients |
| MMC Emergency Physicians Medical Group, Inc | Single Specialty | Past | Accepting new patients |
| Step Emergency Physicians | Single Specialty | Past | Accepting new patients |
| Hayes Creek Emergency Physicians | Single Specialty | Past | Accepting new patients |
| Butte Inpatient Services | Single Specialty | Past | Accepting new patients |
Locations
58581 US Highway 371
Ste Fgh
Anza, CA 92539
Phone (951) 763-4759
49869 Calhoun St
Fl 1
Coachella, CA 92236
Phone (760) 399-4526
275 N El Cielo Rd
Palm Springs, CA 92262
Phone (760) 320-8814
1695 N Sunrise Way
Palm Springs, CA 92262
Phone (760) 325-9370
55497 Van Buren St
Thermal, CA 92274
Phone (760) 238-5494
88775 76th Ave
Ste 1
Thermal, CA 92274
Phone (760) 397-2501
Interoperability endpoints
- vchakmakian684618@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | G61948 | CA | Yes |
Addresses
Primary practice location
437 N Euclid Ave
Ontario, CA 91762-3456
Mailing address
73726 Kandinsky Way
Palm Desert, CA 92211-4557
Phone (805) 714-0122
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G619480 | Medicaid | CA |
Other providers in Ontario, CA
- Natalie Chacon
- Chaffey Joint Union High School District
- Isabella Chaffino
- Charleena Chagoya
- Evette Chaidez
- Brittany Chambers
- Rachel Chambers
- Ruth Chambi - Hernandez
- Erika Chan
- Johanna Chan
All providers in Ontario, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.