Active NPI
Joe Potchanard Chauvapun, M.D.
- Vascular Surgery Physician
- Palmdale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- A104925
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M050376 | Other | CA | GROUP |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090130000064 | CA | Practitioner - Vascular Surgery | 0749344158 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Vascular 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 IncPriority Family Care Center Apc
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
- Palmdale Regional Medical Center
- St Mary Medical Center
- California Hospital Medical Center la
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 374 |
| Melanoma (skin cancer) excision | 1-10 |
| Leg revascularization (restoring blood flow) | 825 |
| Removal of tissue | 68 |
| Removal of skin lesions | 207 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104925 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| A104925 | CA | MD | Vascular Surgery Physician |
Practice roles (9 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Priority Family Care Center Apc | Current | Accepting new patients | |
| Joe P Chauvapun MD Professional Corporation | Vascular Surgery | Current | Accepting new patients |
| Desert Vascular Center a Professional Medical Corporation | Current | Accepting new patients | |
| Christo Cardiology & Vascular Medicine Inc | Current | Accepting new patients | |
| Pasadena Health & Surgical Institute | Current | Accepting new patients | |
| Pasadena Laser and Surgery Center a Medical Corporation | Current | 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
- joe.chauvapun.p105@direct.aac.nextgenshare.com
- https://fhir4.healow.com/fhir/r4/IACIDD/Endpoint/IACIDD
- 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.
-
- Cardiovascular Disease Physician
- Los Angeles, CA
- NPI 1851140404
CA
-
- Vascular Surgery Physician
- Palmdale, CA
- NPI 1033921663
CA, Vascular Surgery
-
- Diagnostic Radiology Physician
- Apple Valley, CA
- NPI 1073224085
CA
-
- Ambulatory Surgical Clinic/Center
- Pasadena, CA
- NPI 1013993252
CA
-
- Ambulatory Surgical Clinic/Center
- Monterey Park, CA
- NPI 1912239062
-
- Internal Medicine Physician
- Long Beach, CA
- NPI 1639126279
-
- Clinic/Center
- San Bernardino, CA
- NPI 1558331231
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Registered Nurse
- Riverside, CA
- NPI 1992783765
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.
- 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.