Organization Active NPI

Fadi Chahin, M.D. Inc

  • Specialist
  • Beverly Hills, CA
National Provider Identifier
1487891446
Registry record updated Jan 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A83794 Issued in CA
Legal business name
FADI CHAHIN, M.D. INC
Practice address
433 N Camden Dr
Suite 1170
Beverly Hills, CA 90210-4409
Phone
(310) 274-2763
Fax
(310) 275-0477
NPI assigned
Jan 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2009

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

Authorized official

Name
Dr. Fadi Chahin, M.D.NPI 1578577920
Title
President
Phone
(310) 274-2763

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A83794 CA Primary

Addresses

Primary practice location

433 N Camden Dr
Suite 1170
Beverly Hills, CA 90210-4409

Mailing address

433 N Camden Dr
Suite 1170
Beverly Hills, CA 90210-4409
Phone (310) 274-2763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090204000405 CA Part B Supplier - Clinic/Group Practice 8527122688 Receives reassigned benefits from 1 practitioner
Practice locations: Beverly Hills, CA; Mission Hills, CA

National Provider Directory

National Provider Directory

Locations

433 N Camden Dr
Ste 1170
Beverly Hills, CA 90210
Phone (310) 274-2763

11550 Indian Hls
Mission Hills, CA 91345
Phone (818) 365-6632

18372 Clark St
Tarzana, CA 91356
Phone (310) 866-0049

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231804800000",
    "number": "1487891446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 N CAMDEN DR",
            "address_2": "SUITE 1170",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104409",
            "telephone_number": "310-274-2763",
            "fax_number": "310-275-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 N CAMDEN DR",
            "address_2": "SUITE 1170",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104409",
            "telephone_number": "310-274-2763",
            "fax_number": "310-275-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FADI CHAHIN, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-01-13",
        "status": "A",
        "authorized_official_last_name": "CHAHIN",
        "authorized_official_first_name": "FADI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-274-2763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A83794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.