Organization Active NPI

Israel P Chambi M D & Medical Associates Inc

  • Neurological Surgery Physician
  • Santa Ana, CA
National Provider Identifier
1336466465
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
A34163 Issued in CA
Legal business name
ISRAEL P CHAMBI M D & MEDICAL ASSOCIATES INC
Practice address
801 N Tustin Ave
Suite 406
Santa Ana, CA 92705-3608
Phone
(714) 973-0810
Fax
(714) 973-0840
NPI assigned
Apr 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

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

Authorized official

Name
Dr. Israel Pedro Chambi, M.D.NPI 1205870565
Title
Physician/Owner
Phone
(714) 973-0810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X A34163 CA Primary

Addresses

Primary practice location

801 N Tustin Ave
Suite 406
Santa Ana, CA 92705-3608

Mailing address

112 S Montgomery Way
Anaheim, CA 92807-3500
Phone (714) 973-0810

Other identifiers 1

IdentifierTypeStateIssuer
00A341630MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100510000323 CA Part B Supplier - Clinic/Group Practice 6800924010 Receives reassigned benefits from 1 practitioner
Practice locations: Fountain Valley, CA; Tustin, CA; Santa Ana, CA; Newport Beach, CA; Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

801 N Tustin Ave
Ste 406
Santa Ana, CA 92705
Phone (714) 824-8840

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275609600000",
    "number": "1336466465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S MONTGOMERY WAY",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928073500",
            "telephone_number": "714-973-0810",
            "fax_number": "714-973-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N TUSTIN AVE",
            "address_2": "SUITE 406",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053608",
            "telephone_number": "714-973-0810",
            "fax_number": "714-973-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISRAEL P CHAMBI M D & MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2010-06-04",
        "status": "A",
        "authorized_official_last_name": "CHAMBI",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_middle_name": "PEDRO",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "714-973-0810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A34163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A341630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.