NPIMap

Organization Active NPI

Pacific Hospitalist Associates a Medical Corporation

  • Hospitalist Physician
  • Irvine, CA
National Provider Identifier
1669790044
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
FNP28511 Issued in CA
Legal business name
PACIFIC HOSPITALIST ASSOCIATES A MEDICAL CORPORATION
Practice address
16250 Sand Canyon Ave
Irvine, CA 92618
Phone
(949) 873-6181
Fax
(949) 873-0418
NPI assigned
May 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Authorized official

Name
Weston ChandlerNPI 1053350397
Title
President
Phone
(949) 873-6181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X CA
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X CA
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X FNP28511 CA Primary

Addresses

Primary practice location

16250 Sand Canyon Ave
Irvine, CA 92618

Mailing address

361 Hospital Rd Ste 521
Newport Beach, CA 92663-3526
Phone (949) 873-6181

Other identifiers 1

IdentifierTypeStateIssuer
CK2215OtherCAMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040316000730 CA Part B Supplier - Clinic/Group Practice 6204726102 Receives reassigned benefits from 102 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Laguna Hills, CA; Newport Beach, CA; Lake Forest, CA; Irvine, CA; Huntington Beach, CA; Costa Mesa, CA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Pacific Hospitalist Associates a Medical Corporation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1669790044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 HOSPITAL RD STE 521",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633526",
            "telephone_number": "949-873-6181",
            "fax_number": "949-873-0418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16250 SAND CANYON AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "92618",
            "telephone_number": "949-873-6181",
            "fax_number": "949-873-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC HOSPITALIST ASSOCIATES A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "WESTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-873-6181"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "FNP28511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CK2215",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.