Individual provider Active NPI

Rahul K Chhablani, MD

  • Gastroenterology Physician
  • Los Angeles, CA
National Provider Identifier
1376799395
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A106762 Issued in CA
Practice address
514 S Barrington Ave
#102
Los Angeles, CA 90049-4348
Phone
(630) 915-1716
NPI assigned
Aug 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036115659 IL
Gastroenterology Physician 207RG0100X A106762 CA Primary

Addresses

Primary practice location

514 S Barrington Ave
#102
Los Angeles, CA 90049-4348

Mailing address

514 S Barrington Ave
#102
Los Angeles, CA 90049-4348
Phone (630) 915-1716

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rchhablani350214@oc.providencedirect.org
Direct Messaging Address rchhablani350214@oc.providencedirect.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091014000008 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 0042250128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Rush Medical College of Rush University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11550 Indian Hills Rd
Suite 211
Mission Hills, CA 91345-1202
Phone (323) 410-9827

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy82
Upper gastrointestinal (GI) endoscopy for acid reflux65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A106762CAMDGastroenterology Physician
036115659ILMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles Hematology-Oncology Medical Group CurrentSince Sep 1, 2024 Accepting new patients
Los Angeles Hematology-Oncology Medical Group Current Accepting new patients
Los Angeles Hematology-Oncology Medical Group CurrentSince Sep 1, 2024 Accepting new patients
Los Angeles Cardiology Associates Past Accepting new patients
Healthcare Partners Affiliates Medical Group Past Accepting new patients
Piyush K, Jogani, MD Gastroenterology Past Accepting new patients

Locations

300 S Harbor Blvd
Ste 600
Anaheim, CA 92805
Phone (714) 978-7488

1801 W Romneya Dr
Ste 203
Anaheim, CA 92801
Phone (714) 999-1465

1211 W La Palma Ave
Ste 103
Anaheim, CA 92801
Phone (714) 535-3660

260 E Ontario Ave
Ste 101
Corona, CA 92879
Phone (951) 268-7746

1505 Wilson Ter
Ste 200
Glendale, CA 91206
Phone (818) 243-0477

541 W Colorado St
Ste 205
Glendale, CA 91204
Phone (323) 254-0046

1245 Wilshire Blvd
Ste 303
Los Angeles, CA 90017
Phone (213) 977-1214

11550 Indian Hills Rd
Ste 211
Mission Hills, CA 91345
Phone (323) 410-9827

15211 Vanowen St
Ste 201
Van Nuys, CA 91405
Phone (818) 574-3798

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1218326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1376799395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S BARRINGTON AVE",
            "address_2": "#102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494348",
            "telephone_number": "630-915-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S BARRINGTON AVE",
            "address_2": "#102",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900494348",
            "telephone_number": "630-915-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHHABLANI",
        "first_name": "RAHUL",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-10",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036115659",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A106762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rchhablani350214@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "11550 Indian Hills Rd Ste 381",
            "city": "Mission Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913451252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rchhablani350214@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "26357 McBean Pkwy Ste 255",
            "city": "Santa Clarita",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913555504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.