Active NPI
Chandana Potaraju, MD
- Internal Medicine Physician
- Culver City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A202261
- Practice address
- 9640 Venice Blvd
Culver City, CA 90232-2626 - Phone
- (310) 603-8013
- NPI assigned
- Apr 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A202261 | CA | Primary |
Addresses
Primary practice location
9640 Venice Blvd
Culver City, CA 90232-2626
Mailing address
9640 Venice Blvd
Culver City, CA 90232-2626
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9640 Venice Blvd
Culver City, CA 90232-2626
Phone (310) 963-0365
Hospital & facility affiliations
- Enhancedcare Home Health
- Allied Home Health Care Corporation
- St Paul Home Health Services, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.19 of 100
- Quality
- 63.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A202261 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geriheal PC | Internal Medicine | Current | Accepting new patients |
| University Hospitals Medical Group Inc | Current | Accepting new patients |
Locations
9640 Venice Blvd
Culver City, CA 90232
Phone (310) 803-6013
9808 Venice Blvd
Ph
Culver City, CA 90232
Phone (310) 733-4171
1715 S Cedar Ave
Fresno, CA 93702
Phone (559) 237-8377
4164 N 4th Ave
Sn Bernrdno, CA 92407
Phone (909) 886-6786
11100 Euclid Ave
Cleveland Heights, OH 44106
Interoperability endpoints
- cpotaraju234136@ehrdirect.uhhospitals.org
- https://api.platform.athenahealth.com/25529/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Bakersfield, CA
- NPI 1760014120
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Chino, CA
- NPI 1124227285
-
- Home Health Agency
- Duarte, CA
- NPI 1831382829
-
- Home Health Agency
- Van Nuys, CA
- NPI 1558592451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1326501909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9640 VENICE BLVD",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902322626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9640 VENICE BLVD",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902322626",
"telephone_number": "310-603-8013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTARAJU",
"first_name": "CHANDANA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-10",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A202261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.