Individual provider Active NPI

Michael Chindalah, PHARM.D.

  • Pharmacist
  • Cypress, CA
National Provider Identifier
1649635491
Registry record updated Dec 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH73763 Issued in CA
Practice address
5995 Plaza Dr
Cypress, CA 90630-5028
Phone
(657) 214-3662
NPI assigned
Dec 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH73763 CA Primary

Addresses

Primary practice location

5995 Plaza Dr
Cypress, CA 90630-5028

Mailing address

2389 Fordham Dr
Costa Mesa, CA 92626-6317
Phone (714) 658-0371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH73763CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450742400000",
    "number": "1649635491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2389 FORDHAM DR",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926266317",
            "telephone_number": "714-658-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5995 PLAZA DR",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305028",
            "telephone_number": "657-214-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINDALAH",
        "first_name": "MICHAEL",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-22",
        "last_updated": "2015-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH73763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.