Diana Elana Chavkin, MD

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

C148541 Issued in CA

Practice address

11500 W Olympic Blvd Ste 504
Los Angeles, CA 90064-1525

Phone

(310) 481-0881

NPI assigned

Dec 27, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• SCRC Medical Group PC

  • Reproductive Endocrinology Physician
  • Beverly Hills, CA
  • NPI 1538704119
  NPD (past)
• Amboy Medical Practice PC

  • Diagnostic Radiology Physician
  • Staten Island, NY
  • NPI 1104692672
  NPD (past)
• Amboy Medical Practice PC

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1700037975
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1417012535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MOUNT HOLYOKE AVE",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902724603",
            "telephone_number": "310-481-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 W OLYMPIC BLVD STE 504",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641525",
            "telephone_number": "310-481-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVKIN",
        "first_name": "DIANA",
        "middle_name": "ELANA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CA",
            "license": "C148541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Manuel Chavira, LMFT
• Emiliano R Chavira, M.D.
• Geraldine Chavira
• Mammie Ruth Chavira, LMFT
• Shaniece Yvette Chavis, APRN
• Leticia Chavoya, DC
• Venessa Chavoya, MA, BA
• Erika Chawla, LPCC AND LCPC
• Harmanpreet Chawla, MD
• Nida Chawla

• Reproductive Endocrinology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Reproductive Endocrinology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.