John Angus Chisholm, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E3431 Issued in CA

Practice address

345 F St
Ste 100
Chula Vista, CA 91910-2632

Phone

(619) 427-3481

Fax

(619) 420-7807

NPI assigned

Jun 17, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 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)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jchisholm80410@scrippshlth.medalliesdirect.net

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.

• South Bay Foot & Ankle Specialists, Inc.

  • Podiatrist
  • Chula Vista, CA
  • NPI 1689041055
  Medicare reassignment NPD Authorized official
• Emergency and Acute Care Medical Corporation

  • Emergency Medicine Physician
  • San Diego, CA
  • NPI 1437103942
  Medicare reassignment NPD
• South Bay Foot & Ankle Specialists, Inc.

  • Podiatrist
  • La Mesa, CA
  • NPI 1649884610
  NPD Authorized official
• Upperline Healthcare California PC

  • Podiatric Clinic/Center
  • Orange, CA
  • NPI 1225663826
  Medicare reassignment
• Scripps Health

  dba Scripps Hospital Medical Services

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1396740072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 F ST",
            "address_2": "STE 100",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102632",
            "telephone_number": "619-427-3481",
            "fax_number": "619-420-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 F ST",
            "address_2": "STE 100",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102632",
            "telephone_number": "619-427-3481",
            "fax_number": "619-420-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHISHOLM",
        "first_name": "JOHN",
        "middle_name": "ANGUS",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E34312",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Childrens Medical Group of South Bay
• Ifeoma Chime, LMFT
• Andrea Yvette Ching, PHARMD
• Katherine Emily Ching
• Yesmine Chino
• Nevaeh Chisolm
• Puja Chitkara, M.D
• Wendy Chiu, DPT
• Jennifer Jung Hyun Choi
• Kenny Choi, M.D.

• Podiatrist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.

Verify at the official NPI Registry.