Hospitalists Med Assocs Cho

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

G65093 Issued in CA

Legal business name

HOSPITALISTS MED ASSOCS CHO

Practice address

747 52ND St
Oakland, CA 94609-1809

Phone

(510) 428-3786

Fax

(510) 601-3974

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Theodore Chaconas, MD

Title

Head of Dept

Phone

(510) 428-3786

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1497881775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 W MARCH LN",
            "address_2": "STE 200",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952192369",
            "telephone_number": "209-473-6555",
            "fax_number": "209-473-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 52ND ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091809",
            "telephone_number": "510-428-3786",
            "fax_number": "510-601-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITALISTS MED ASSOCS CHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "CHACONAS",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_title_or_position": "HEAD OF DEPT",
        "authorized_official_telephone_number": "510-428-3786",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "CA",
            "license": "G65093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "GR0079140",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR CHACONAS CA MD LICENSE",
            "identifier": "G65093",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emma Hosford
• Leah Hoskin, MD, MA
• David Hoskins, PSY.D, M.A.S.
• Stefanie Hoskins
• Teresa Grayce Hoskins
• Fabiha Hossain, DO
• Shifat Hossain
• Mauricio Hossainy-Morales
• Atefeh Hosseini, MD
• Bernadette Margaret Hotze

• Pediatric Adolescent Medicine Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Pediatric Adolescent Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.