Active NPI
Esteban Ambrad-Chalela, M.D.
- Vascular Surgery Physician
- Richland, WA
National Provider Identifier
1669424032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- MD00039198
- Practice address
- 761 Williams Blvd.
Richland, WA 99354 - Phone
- (509) 946-9707
- Fax
- (509) 946-8145
- NPI assigned
- May 16, 2006
- Last updated
- Jul 21, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | MD00039198 | WA | Primary |
Addresses
Primary practice location
761 Williams Blvd.
Richland, WA 99354
Mailing address
761 Williams Blvd.
Richland, WA 99354
Phone (509) 946-9707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124833 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radia Inc P S | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Vascular Surgery Physician
- Richland, WA
- NPI 1538347216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405900800000",
"number": "1669424032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "761 WILLIAMS BLVD.",
"city": "RICHLAND",
"state": "WA",
"postal_code": "99354",
"telephone_number": "509-946-9707",
"fax_number": "509-946-8145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 WILLIAMS BLVD.",
"city": "RICHLAND",
"state": "WA",
"postal_code": "99354",
"telephone_number": "509-946-9707",
"fax_number": "509-946-8145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMBRAD-CHALELA",
"first_name": "ESTEBAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2014-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "WA",
"license": "MD00039198",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124833",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richland, WA
- Amy Klipfel Alvarado, LICSW
- Yesenia Alvarado
- Janelle Alvarez
- Yessenia Alvarez
- Jennifer Amante, INTERPRETER
- American Medical Diagnostics (The CPAP Clinic)
- American Medical Response Ambulance Service Inc (American Medical Response)
- American Sleep Disorders Company Inc (CPAP Clinic)
- Geoffrey Stillman Ames, MD
- Megan Rose Ames, CNM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.