Individual provider Active NPI

Joe Potchanard Chauvapun, M.D.

  • Vascular Surgery Physician
  • Palmdale, CA
National Provider Identifier
1487842597
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
A104925 Issued in CA
Practice address
327 E Palmdale Blvd Ste D
Palmdale, CA 93550-7139
Phone
(310) 953-5502
NPI assigned
Oct 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X A104925 CA Primary

Addresses

Primary practice location

327 E Palmdale Blvd Ste D
Palmdale, CA 93550-7139

Mailing address

327 E Palmdale Blvd Ste D
Palmdale, CA 93550-7139
Phone (310) 953-5502

Other practice location 1

1050 Linden Ave Fl 2
Long Beach, CA 90813-3321
Phone (310) 953-5502

Other identifiers 1

IdentifierTypeStateIssuer
M050376OtherCAGROUP

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
I20090130000064 CA Practitioner - Vascular SurgeryPractitioner - General Surgery 0749344158 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christo Cardiology and Vascular Medicine Inc 8 clinicians
Priority Family Care Center Apc 9 clinicians

Practice addresses (Care Compare)

2423 N Broadway
Los Angeles, CA 90031-2218
Phone (213) 376-3762

327 E Palmdale Blvd
Suite D
Palmdale, CA 93550-7139
Phone (213) 375-5737

Hospital & facility affiliations

  • Hope Professional Services, Inc Home health agency, Riverside, CA, CCN 058184
  • Palmdale Regional Medical Center Hospital, Palmdale, CA, CCN 050204
  • St Mary Medical Center Hospital, Long Beach, CA, CCN 050191
  • California Hospital Medical Center la Hospital, Los Angeles, CA, CCN 050149

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal374
Melanoma (skin cancer) excision1-10
Leg revascularization (restoring blood flow)825
Removal of tissue68
Removal of skin lesions207
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
104925CAMDOrthodontics and Dentofacial Orthopedic Dentist
A104925CAMDVascular Surgery Physician

Practice roles (9 of 10)

OrganizationSpecialtyStatusNew patients
Priority Family Care Center Apc CurrentSince Nov 4, 2024 Accepting new patients
Joe P Chauvapun MD Professional Corporation Vascular Surgery CurrentSince Mar 23, 2025 Accepting new patients
Desert Vascular Center a Professional Medical Corporation CurrentSince Jan 1, 2025 Accepting new patients
Christo Cardiology & Vascular Medicine Inc CurrentSince Nov 4, 2024 Accepting new patients
Pasadena Health & Surgical Institute CurrentSince Jun 1, 2025 Accepting new patients
Pasadena Laser and Surgery Center a Medical Corporation CurrentSince Jun 1, 2025 Accepting new patients
Prohealth Partners, a Medical Group, Inc. Past Accepting new patients
Atlantic Surgical Center, LLC Past Accepting new patients
San Bernardino Medical Group Inc Past Accepting new patients

Locations

19111 Town Center Dr
Apple Valley, CA 92308
Phone (661) 345-3055

968 S Coast Hwy
#4799
Laguna Beach, CA 92651

1050 Linden Ave
Fl 2
Long Beach, CA 90813
Phone (562) 491-9270

1050 Linden Ave
#2
Long Beach, CA 90813

1762 Westwood Blvd
Ste 110
Los Angeles, CA 90024
Phone (310) 441-2000

2423 N Broadway
Los Angeles, CA 90031
Phone (213) 376-3762

850 S Atlantic Blvd
Ste 104
Monterey Park, CA 91754
Phone (213) 376-3762

327 E Palmdale Blvd
Ste D
Palmdale, CA 93550
Phone (661) 273-5888

960 E Green St
Ste 110
Pasadena, CA 91106
Phone (626) 294-4866

15030 Seventh St
Victorville, CA 92395
Phone (213) 376-3762

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: joe.chauvapun.p105@direct.aac.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IACIDD/Endpoint/IACIDD
  • Direct secure messaging: joechauvapun@wdsmdinc.allscriptsdirect.net

Organizations & group practices 9

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.

Hospital & facility affiliations 4

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": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1487842597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 E PALMDALE BLVD STE D",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935507139",
            "telephone_number": "310-953-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 E PALMDALE BLVD STE D",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935507139",
            "telephone_number": "310-953-5502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Linden Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908133321",
            "country_code": "US",
            "telephone_number": "310-953-5502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAUVAPUN",
        "first_name": "JOE",
        "middle_name": "POTCHANARD",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-15",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A104925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "M050376",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.