Individual provider Active NPI

Chanelle Calhoun, MD

  • Pediatrics Physician
  • Oceanside, CA
National Provider Identifier
1437166709
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G75390 Issued in CA
Practice address
2210 Mesa Dr
Suite 12
Oceanside, CA 92054-3756
Phone
(760) 966-3306
Fax
(760) 966-3310
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X G75390 CA Primary

Addresses

Primary practice location

2210 Mesa Dr
Suite 12
Oceanside, CA 92054-3756

Mailing address

2210 Mesa Dr
Suite 12
Oceanside, CA 92054-3756
Phone (760) 966-3306

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
I20080129000766 CA Practitioner - Pediatric Medicine 6103908173 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75390CAMDPharmacist
G75390CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North County Health Project Inc CurrentSince Apr 21, 2019 Accepting new patients
North County Health Project Inc Current Accepting new patients
North County Health Project Inc CurrentSince Apr 21, 2019 Accepting new patients
Scripps Health Past Accepting new patients
Tri-City Hospital Past Accepting new patients
Rady Children'S Hospital San Diego Past Accepting new patients
North County Health Project Inc Past Accepting new patients

Locations

3050 Madison St
Carlsbad, CA 92008
Phone (760) 720-7766

629 2nd St
Encinitas, CA 92024
Phone (760) 753-7842

2210 Mesa Dr
Ste 5
Oceanside, CA 92054
Phone (760) 736-8700

2210 Mesa Dr
Ste 300
Oceanside, CA 92054
Phone (760) 757-5841

2210 Mesa Dr
Ste 12
Oceanside, CA 92054
Phone (760) 966-3306

408 Cassidy St
Oceanside, CA 92054
Phone (760) 757-4566

217 Earlham St
Ramona, CA 92065
Phone (760) 789-1223

150 Valpreda Rd
San Marcos, CA 92069
Phone (619) 736-6700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ccalhoun312839@direct.ochin.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1437166709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 MESA DR",
            "address_2": "SUITE 12",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920543756",
            "telephone_number": "760-966-3306",
            "fax_number": "760-966-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 MESA DR",
            "address_2": "SUITE 12",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920543756",
            "telephone_number": "760-966-3306",
            "fax_number": "760-966-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALHOUN",
        "first_name": "CHANELLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G75390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.