Individual provider Active NPI

Pawan Chadha, M.D.

  • Psychiatry Physician
  • Fremont, CA
National Provider Identifier
1548523178
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C42205 Issued in CA
Practice address
44366 Parkmeadow Dr
Fremont, CA 94539-6527
Phone
(510) 683-9127
NPI assigned
Jun 19, 2012
Last updated
Jun 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X C42205 CA Primary

Addresses

Primary practice location

44366 Parkmeadow Dr
Fremont, CA 94539-6527

Mailing address

44366 Parkmeadow Dr
Fremont, CA 94539-6527
Phone (510) 683-9127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130604000843 CA Practitioner - PsychiatryPractitioner - Internal Medicine 8729226683 Reassigns benefits to 3 organizations
Practice locations: Fremont, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C42205CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hiawatha Harris, M.D., Inc. CurrentSince Dec 27, 2024 Accepting new patients
Momentum for Health CurrentSince Jul 13, 2016 Accepting new patients
Community Solutions for Children, Families and Individuals CurrentSince Jan 30, 2017 Accepting new patients
Hiawatha Harris, Corporation CurrentSince Dec 27, 2024 Accepting new patients
Community Solutions for Children, Families and Individuals Current Accepting new patients
Momentum for Health CurrentSince Jul 13, 2016 Accepting new patients
Hiawatha Harris, M.D., Inc. Current Accepting new patients

Locations

9015 Murray Ave
Ste 100
Gilroy, CA 95020
Phone (408) 665-4908

1700 Broadway
#500
Oakland, CA 94612
Phone (510) 273-4200

5674 Stoneridge Dr
Ste 207
Pleasanton, CA 94588

1922 The Alameda
Ste 316
San Jose, CA 95126
Phone (408) 637-0341

2001 The Alameda
San Jose, CA 95126
Phone (408) 938-6750

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340064000000",
    "number": "1548523178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44366 PARKMEADOW DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945396527",
            "telephone_number": "510-683-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44366 PARKMEADOW DR",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945396527",
            "telephone_number": "510-683-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHADHA",
        "first_name": "PAWAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C42205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.