Rohini Thothala Chandrasekar, MS PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA56413 Issued in CA

Practice address

665 N D St
San Bernardino, CA 92401-1109

Phone

(909) 708-8158

Fax

(909) 380-7030

NPI assigned

Jan 24, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inland Behavioral and Health Services IncGroup PAC ID 2769392927, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GJAADA

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.

• Inland Behavioral and Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Bernardino, CA
  • NPI 1275562969
  Medicare reassignment Care Compare group NPD
• Inland Behavioral and Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • San Bernardino, CA
  • NPI 1770263287
  NPD
• Whitney Young Family Health Clinic

  • Federally Qualified Health Center (FQHC)
  • San Bernardino, CA
  • NPI 1255523759
  NPD (past)

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1578027561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14963 MAVENWOOD PL",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923360791",
            "telephone_number": "909-565-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 N D ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924011109",
            "telephone_number": "909-708-8158",
            "fax_number": "909-380-7030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1755 Maple St",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924112441",
            "country_code": "US",
            "telephone_number": "909-386-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1070 E Ramsey St",
            "address_purpose": "LOCATION",
            "city": "Banning",
            "state": "CA",
            "postal_code": "922205924",
            "country_code": "US",
            "telephone_number": "951-846-2560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOTHALA CHANDRASEKAR",
        "first_name": "ROHINI",
        "credential": "MS PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA56413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Thompson
• Savannah Thompson
• Kathy Thomsen
• Kipp James Thorn, PSY.D.
• Shalmali Santosh Thosar, PT
• Thrifty Payless Inc
• Thrifty Payless Inc
• Thrively Licensed Clinical Social Worker PC
• Asitha Thumpati
• Thunderbird Hospice LLC

• Physician Assistant in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2019; 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.

Verify at the official NPI Registry.