NPIMap

Individual provider Active NPI

Anmol Chohan, M.D

  • Internal Medicine Physician
  • Davis, CA
National Provider Identifier
1386917177
Registry record updated Jan 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A143285 Issued in CA
Practice address
2660 W Covell Blvd
Davis, CA 95616-5645
Phone
(530) 747-3000
NPI assigned
Feb 9, 2012
Last updated
Jan 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X A143285 CA Primary

Addresses

Primary practice location

2660 W Covell Blvd
Davis, CA 95616-5645

Mailing address

825 SE Bishop Blvd Ste 200
Pullman, WA 99163-5537
Phone (509) 332-2517

Other practice location 1

825 SE Bishop Blvd Ste 200
Pullman, WA 99163-5537
Phone (509) 332-2517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170213001443 CA Practitioner - Internal Medicine 6608094891 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2660 W Covell Blvd
Davis, CA 95616-5645
Phone (530) 747-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A143285CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ole Health Current Accepting new patients
Ole Health CurrentSince Jan 30, 2017 Accepting new patients
Ole Health CurrentSince Jan 30, 2017 Accepting new patients
Regents of the University of California CurrentSince Mar 16, 2019 Accepting new patients
Regents of the University of California CurrentSince Mar 16, 2019 Accepting new patients
Essent PRMC LP Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Public Hospital District #1-a of Whitman County Past Accepting new patients

Locations

2051 John Jones Rd
Davis, CA 95616
Phone (530) 753-3498

2660 W Covell Blvd
Davis, CA 95616
Phone (530) 747-3000

2660 W Covell Blvd
Fl 2
Davis, CA 95616
Phone (530) 747-3000

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

500 Jefferson Blvd
Ste B180
West Sacramento, CA 95605
Phone (916) 375-6400

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579996800000",
    "number": "1386917177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 SE BISHOP BLVD STE 200",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991635537",
            "telephone_number": "509-332-2517",
            "fax_number": "509-334-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 W COVELL BLVD",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956165645",
            "telephone_number": "530-747-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 SE Bishop Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Pullman",
            "state": "WA",
            "postal_code": "991635537",
            "country_code": "US",
            "telephone_number": "509-332-2517",
            "fax_number": "509-334-9247",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOHAN",
        "first_name": "ANMOL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-09",
        "last_updated": "2020-01-26",
        "certification_date": "2020-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A143285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

Verify at the official NPI Registry.