Carrie Chanson, M.D., DR.PH, MPM

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

A122043 Issued in CA

Practice address

328 Commercial Rd Ste 101
Loma Linda Occupational Medicine Clinic
San Bernardino, CA 92408-3766

Phone

(909) 558-6662

NPI assigned

Mar 31, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ming Yu Cheng Other name

Electronic endpoints 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Santa Clara, CA
  • NPI 1073606299
  Medicare reassignment NPD
• Permanente Medical Group Inc

  • Internal Medicine Physician
  • Stockton, CA
  • NPI 1548343510
  NPD
• Permanente Medical Group, Inc

  • Clinical Medical Laboratory
  • San Jose, CA
  • NPI 1497971584
  NPD

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1366767485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 COMMERCIAL RD STE 101",
            "address_2": "LOMA LINDA OCCUPATIONAL MEDICINE CLINIC",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083766",
            "telephone_number": "909-558-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 COMMERCIAL RD STE 101",
            "address_2": "LOMA LINDA OCCUPATIONAL MEDICINE CLINIC",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083766",
            "telephone_number": "909-558-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANSON",
        "first_name": "CARRIE",
        "name_prefix": "Dr.",
        "credential": "M.D., DR.PH, MPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-31",
        "last_updated": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "A122043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "3285 Claremont Way",
            "city": "Napa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945583313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MING YU",
            "last_name": "CHENG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shao Huai Chang
• Shi-Ying Chang, NP
• Tzu-Fei Chang, D.M.D.
• Changing Their Lives
• Kristy Samnang Chann, PMHNP
• Chaparral Medical Group, Inc.
• Malena Denise Chappell-Brass, NP
• Eula B Charles
• Nathaniel Chatman
• Sachin Kumar Chatta, M.D.

• Occupational Medicine Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Occupational Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.

Verify at the official NPI Registry.