Organization Active NPI

Milan S. Chakrabarty M.D. Inc

  • Gastroenterology Physician
  • Hemet, CA
National Provider Identifier
1356441489
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A36675 Issued in CA
Legal business name
MILAN S. CHAKRABARTY M.D. INC
Practice address
1003 E Florida Ave
# 101
Hemet, CA 92543-4510
Phone
(951) 652-2252
Fax
(951) 652-3173
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Authorized official

Name
Milan S Chakrabarty, MD
Title
President
Phone
(951) 652-2252

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X A36675 CA Primary

Addresses

Primary practice location

1003 E Florida Ave
# 101
Hemet, CA 92543-4510

Mailing address

PO Box 5400
Hemet, CA 92544-0400
Phone (951) 929-6260

Other identifiers 1

IdentifierTypeStateIssuer
GR0060110MedicaidCA

National Provider Directory

National Provider Directory

Locations

1003 E Florida Ave
Hemet, CA 92543
Phone (951) 652-2252

1003 E Florida Ave
#101
Hemet, CA 92543
Phone (951) 652-2252

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": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1356441489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5400",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925440400",
            "telephone_number": "951-929-6260",
            "fax_number": "951-765-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 E FLORIDA AVE",
            "address_2": "# 101",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434510",
            "telephone_number": "951-652-2252",
            "fax_number": "951-652-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILAN S. CHAKRABARTY M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "CHAKRABARTY",
        "authorized_official_first_name": "MILAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-652-2252",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A36675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0060110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.