Individual provider Active NPI

Soelot Chantachote, M.D.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1659632206
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
136269 Issued in CA
Practice address
2233 W Division St
Chicago, IL 60622-8151
Phone
(312) 770-2858
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 136269 CA Primary

Addresses

Primary practice location

2233 W Division St
Chicago, IL 60622-8151

Mailing address

2233 W Division St
Chicago, IL 60622-8151

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20151105002032 CA Practitioner - Family Practice 8921318874 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalist Medicine Physicians of California IncGroup PAC ID 8426062027, 120 clinicians

Practice addresses (Care Compare)

450 E Romie LN
Salinas, CA 93901-4029
Phone (831) 757-4333

Hospital & facility affiliations

  • Washington Hospital Hospital, Fremont, CA, CCN 050195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of California - Apple Valley, PC CurrentSince Aug 24, 2020 Accepting new patients
Inpatient Specialists of California, PC Family Medicine CurrentSince Oct 1, 2015 Accepting new patients
Kansal Inc Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Family Medicine CurrentSince Nov 1, 2015 Accepting new patients
Sound LTC of California II PC Family Medicine CurrentSince Mar 13, 2025 Accepting new patients

Locations

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

1255 Travis Blvd
Fairfield, CA 94533
Phone (707) 425-0623

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

1498 Pacific Ave
Ste 400
Tacoma, WA 98402
Phone (253) 682-6040

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1659632206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228151",
            "telephone_number": "312-770-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANTACHOTE",
        "first_name": "SOELOT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "136269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.