Active NPI
Sant P Chawla, M.D.
- Specialist
- Santa Monica, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A45088
- Practice address
- 2811 Wilshire Blvd
Ste 414
Santa Monica, CA 90403-4803 - Phone
- (310) 552-9999
- Fax
- (310) 201-6685
- NPI assigned
- May 31, 2005
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | A45088 | CA | Primary |
Addresses
Primary practice location
2811 Wilshire Blvd
Ste 414
Santa Monica, CA 90403-4803
Mailing address
2811 Wilshire Blvd
Suite 414
Santa Monica, CA 90403-4803
Phone (310) 552-9999
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95-4253354 | Other | CA | TAX ID |
| A45088 | Other | CA | LISCENSE # |
| 00A450880 | Medicaid | CA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2811 Wilshire Blvd
Santa Monica, CA 90403-4804
Phone (310) 552-9999
Hospital & facility affiliations
- Saint John'S Health Center
- Cedars-Sinai Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45088 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Care Community Health Center, Inc | Current | Accepting new patients | |
| Complete Care Community Health Center, Inc | Current | Accepting new patients | |
| Complete Care Community Health Center, Inc | Past | Accepting new patients | |
| Stanford Health Care | Past | Accepting new patients | |
| Cedars-Sinai Medical Center | Past | Accepting new patients | |
| Providence Saint John'S Health Center | Past | Accepting new patients |
Locations
3831 Hughes Ave
Ste 601
Culver City, CA 90232
Phone (310) 204-0223
2928 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 266-6700
Organizations & group practices 7
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.
-
- Hematology & Oncology Physician
- Santa Monica, CA
- NPI 1205877958
-
- PACE Provider Organization
- Los Angeles, CA
- NPI 1215113964
-
- Federally Qualified Health Center (FQHC)
- Visalia, CA
- NPI 1316729403
-
- PACE Provider Organization
- South Gate, CA
- NPI 1811397888
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419984000000",
"number": "1508868837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 WILSHIRE BLVD",
"address_2": "SUITE 414",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034803",
"telephone_number": "310-552-9999",
"fax_number": "310-201-6685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 WILSHIRE BLVD",
"address_2": "STE 414",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904034803",
"telephone_number": "310-552-9999",
"fax_number": "310-201-6685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAWLA",
"first_name": "SANT",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2014-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A45088",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "95-4253354",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LISCENSE #",
"identifier": "A45088",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A450880",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.