Maia U Chakerian, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

G60149 Issued in CA

Practice address

360 Dardanelli LN
Ste 2G
Los Gatos, CA 95032-1421

Phone

(408) 356-0503

Fax

(408) 356-4704

NPI assigned

Jun 14, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2020 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3571/brand/1/csg/1/fhir/r4
• Direct secure messaging: maia.chakerian.1@10676.direct.athenahealth.com
• Direct secure messaging: maia.chakerian.1@3571.direct.athenahealth.com

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.

• Maia Chakerian MD

  • Pain Medicine (Anesthesiology) Physician
  • Los Gatos, CA
  • NPI 1700814654
  NPD (past) Authorized official
• Maia Chakerian, MD

  • Pain Medicine (Anesthesiology) Physician
  • Los Gatos, CA
  • NPI 1154511327
  NPD (past) Authorized official
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  NPD

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1598708778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 DARDANELLI LN",
            "address_2": "STE 2G",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321421",
            "telephone_number": "408-356-0503",
            "fax_number": "408-356-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 DARDANELLI LN",
            "address_2": "STE 2G",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321421",
            "telephone_number": "408-356-0503",
            "fax_number": "408-356-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAKERIAN",
        "first_name": "MAIA",
        "middle_name": "U",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G60149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cep America - Psychiatry, PC
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• Leila Chabane
• Wilbert Chambers
• Cecile Chan
• Julia S Chan, MD
• Michelle Chan
• Tiffany Chan, NP

• Pain Medicine (Anesthesiology) Physician in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.