Scintadel Healthcare, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SCINTADEL HEALTHCARE, INC.

Practice address

5675 West Olympic Blvd.
Los Angeles, CA 90036

Phone

(213) 422-6853

NPI assigned

Mar 9, 2023

Last updated

May 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vijay Chandran, MDNPI 1801283692

Title

Ceo

Phone

(213) 422-6853

Specialties & licenses 5

Addresses

Other names 1

• Scintadel Group, Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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.

• Vijay Chandran, MD,RN,MBA.;

  • Psychiatry Physician
  • Santa Ana, CA
  • NPI 1801283692
  Medicare reassignment NPD Authorized official
• Buchi Stella Imoohi, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Alta Loma, CA
  • NPI 1811137938
  Medicare reassignment NPD

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1588364327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 LILLYVALE AVE APT 143",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900323580",
            "telephone_number": "213-422-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5675 WEST OLYMPIC BLVD.",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90036",
            "telephone_number": "213-422-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCINTADEL HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "CHANDRAN",
        "authorized_official_first_name": "VIJAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-422-6853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scintadel Group, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Joseph Sciabbarrasi, M.D.
• Anna Catherine Scialli, MD
• Bernadette Sciberras Boylan, AMFT132870
• Science Age Medical Supplies Inc
• Science Age Medical Supplies Inc
• Royce Christopher Sciortino, MA, LMFT
• Elizabeth Sciutto, MS, BCBA
• SCL Acupuncture
• Spencer Scobie-Gilpin, PA
• Trinh My Scoffinger, D.P.T.

• Psychiatry Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.