Chalat Rajaram, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A45371 Issued in CA

Practice address

14901 Foxcroft Rd
Tustin, CA 92780-6726

Phone

(714) 547-3346

Fax

(714) 547-3252

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• GN Medical Associates, Inc.

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1275576522
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432166400000",
    "number": "1659451268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14901 FOXCROFT RD",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806726",
            "telephone_number": "714-547-3346",
            "fax_number": "714-547-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14901 FOXCROFT RD",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806726",
            "telephone_number": "714-547-3346",
            "fax_number": "714-547-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJARAM",
        "first_name": "CHALAT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2015-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A45371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A453710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Langsam Psychotherapy PC
• Radiant Physician Group
• Rahimian Dental Corporation
• Rai Care Centers of Southern California I, LLC
• Rainbow Home Care Services Inc.
• Dulce Maria Ramirez Gonzalez, BA
• Angela Ramirez, RBT
• Danielle Ramirez
• Leslie Elizabeth Ramirez
• Xochitl Angelica Ramirez

• Internal Medicine Physician in Tustin, CA
• Providers in Tustin, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.