Amine Rabah Chahbouni, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A 11525 Issued in CA

Practice address

608 Hayes
Irvine, CA 92620-3753

Phone

(949) 322-5521

NPI assigned

Jan 26, 2012

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

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

Specialty

Family Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Imperial Primary Care Medical GroupGroup PAC ID 3476528316, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pih Health Hospital-Whittier Hospital, Whittier, CA, CCN 050169

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10008746
• Direct secure messaging: aminechahbouni@ipcmg.allscriptsdirect.net

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.

• Imperial Primary Care Medical Group

  • Family Medicine Physician
  • La Mirada, CA
  • NPI 1598893455
  Medicare reassignment Care Compare group NPD
• St Joseph Hospital of Orange

  dba Providence St. Joseph Hospital

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1912982216
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pih Health Whittier Hospital

  • General Acute Care Hospital
  • Whittier, CA
  • NPI 1043215379
  Care Compare affiliation

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1326319021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 HAYES",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203753",
            "telephone_number": "949-322-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 HAYES",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203753",
            "telephone_number": "949-322-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAHBOUNI",
        "first_name": "AMINE",
        "middle_name": "RABAH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A 11525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hea In Cha, M.D.
• Shannon Lori Chabot, PPS
• Chad Wu, MD, Inc
• Ashley Chae
• Jun Ho Chae, M.D.
• Chai-Yung J. Tsai, M.D. a Professional Corporation (Portola Direct Primary Care)
• Victoria Chai
• Peiwen Chain
• Guity Jasmine Chaman Pira I, LVN
• Azizeh Chamani, M.S.

• Family Medicine Physician in Irvine, CA
• Providers in Irvine, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.