Active NPI
Chelsey Overstreet, MD
- Pediatrics Physician
- Pasadena, CA
National Provider Identifier
1356437586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A76777
- Practice address
- 1662 Monte Vista St
Pasadena, CA 91106-1310 - Phone
- (626) 796-6714
- Fax
- (626) 796-6714
- NPI assigned
- Oct 5, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A76777 | CA | Primary |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | A76777 | CA |
Addresses
Primary practice location
1662 Monte Vista St
Pasadena, CA 91106-1310
Mailing address
1662 Monte Vista St
Pasadena, CA 91106-1310
Phone (626) 796-6714
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A767770 851 | Other | CA | CAL OPTIMA |
| 00A767770 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040827000277 | CA | Practitioner - Pediatric Medicine | 0446225015 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A76777 | CA | MD | Pediatrics Physician |
Practice roles (6 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Los Angeles Medical Group, Inc. | Pediatrics | Current | Accepting new patients |
| The Regents of the University of California | Past | Accepting new patients | |
| Children'S Hospital Los Angeles | Past | Accepting new patients | |
| Alta Los Angeles Hospital, Inc | Past | Accepting new patients | |
| Childrens Hospital of Los Angeles | Past | Accepting new patients | |
| Vanderbilt Univ. Medical Center | Past | Accepting new patients |
Locations
3701 Wilshire Blvd
Ste 600
Los Angeles, CA 90010
Phone (323) 361-3550
4650 W Sunset Blvd
#76
Los Angeles, CA 90027
Phone (323) 669-2113
4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1265530653
CA, Pediatrics
-
- Skilled Nursing Facility
- Los Angeles, CA
- NPI 1114132685
-
- Children's Chronic Disease Hospital
- Los Angeles, CA
- NPI 1366527954
-
- Children's Hospital
- Los Angeles, CA
- NPI 1124073366
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1982849105
-
- General Acute Care Hospital
- Nashville, TN
- NPI 1073608139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1356437586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1662 MONTE VISTA ST",
"city": "PASADENA",
"state": "CA",
"postal_code": "911061310",
"telephone_number": "626-796-6714",
"fax_number": "626-796-6714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1662 MONTE VISTA ST",
"city": "PASADENA",
"state": "CA",
"postal_code": "911061310",
"telephone_number": "626-796-6714",
"fax_number": "626-796-6714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OVERSTREET",
"first_name": "CHELSEY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A76777",
"primary": true
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "CA",
"license": "A76777",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAL OPTIMA",
"identifier": "00A767770 851",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A767770",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.