Prestige Medical Associates, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRESTIGE MEDICAL ASSOCIATES, INC.

Practice address

1000 Newbury Rd
Ste. 130
Newbury Park, CA 91320-6435

Phone

(805) 214-3122

Fax

(805) 214-3129

NPI assigned

Jan 26, 2011

Last updated

Aug 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Treise Chesnut, M.D.

Title

President

Phone

(805) 217-3334

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gloria Lo Lee, MD

  • Internal Medicine Physician
  • Newbury Park, CA
  • NPI 1952394025
  Medicare reassignment Care Compare group NPD
• Treise Nicole Tomlinson-Chesnut, M.D.

  • Internal Medicine Physician
  • Newbury Park, CA
  • NPI 1710970884
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1467758235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD",
            "address_2": "STE. 130",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206435",
            "telephone_number": "805-214-3122",
            "fax_number": "805-214-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 NEWBURY RD",
            "address_2": "STE. 130",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "913206435",
            "telephone_number": "805-214-3122",
            "fax_number": "805-214-3129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "CHESNUT",
        "authorized_official_first_name": "TREISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-217-3334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Pitman
• Allan S Pollock, M.D.
• Wayne L Pollock, D.C.
• Milena Popovic, PT, DPT
• Tammy Elizabeth Prado, FNP-C
• Lorraine Priceman, M.S. CCC-SLP
• Amanda L Prince, LMFT
• John Hayden Pryor
• Bobbie E Quigley, M.S, M.A
• Corrin Michelle Rakowski, MS, CTRS

• Internal Medicine Physician in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.