Individual provider Active NPI

Chivonne Leigh Harrigal, M.D.

  • Diagnostic Radiology Physician
  • Stanford, CA
National Provider Identifier
1679741540
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A104593 Issued in CA
Practice address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone
(650) 723-4000
NPI assigned
Feb 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 14425 NV
Diagnostic Radiology Physician 2085R0202X A104593 CA Primary

Addresses

Primary practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Mailing address

1804 Embarcadero Rd Ste 100
Palo Alto, CA 94303-3318
Phone (650) 724-3240

Other practice location 1

112 Meadow Dr
Stateline, NV 89449
Phone (952) 595-1100

Other practice location 2

112 Meadow Dr
Stateline, NV 89449
Phone (952) 595-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110623000203 CA Practitioner - Diagnostic Radiology 5092993964
I20131227000390 NV Practitioner - Diagnostic Radiology 5092993964 Reassigns benefits to 2 organizations
I20151110001777 TX Practitioner - Diagnostic Radiology 5092993964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Pittsburgh School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5423 Reno Corporate Dr
Reno, NV 89511-2250
Phone (775) 329-0873

Merit-based Incentive Payment System (MIPS)

Final score
45.93 of 100Reported as group
Quality
59.67
Improvement activities
0
Cost
65.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A104593CAMDDiagnostic Radiology Physician
14425NVMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ton Sells Hospital CurrentSince Nov 1, 2015 Accepting new patients
Saint Marys Medical Group Inc. Diagnostic Radiology Current Accepting new patients
Saint Marys Urgent Care LLC Current Accepting new patients
John a Shields MD and Steven a Schiff MD a Professional Corporation CurrentSince May 1, 2020 Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
Ton Sells Hospital Past Accepting new patients
John a Shields MD and Steven a Schiff MD a Professional Corporation Past Accepting new patients

Locations

1801 W Olympic Blvd
#1461
Pasadena, CA 91199

1717 College Pkwy
Ste 101
Carson City, NV 89706
Phone (775) 329-0222

5423 Reno Corporate Dr
Reno, NV 89511
Phone (775) 329-0873

5465 Reno Corporate Dr
Ste 200
Reno, NV 89511
Phone (775) 220-0800

235 W 6th St
Reno, NV 89503
Phone (775) 746-3202

18653 Wedge Pkwy
Ste 110
Reno, NV 89511
Phone (775) 352-7201

Interoperability endpoints

  • Direct secure messaging: chivonne.harrigalmd.p1@direct.smmg.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1679741540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 EMBARCADERO RD STE 100",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943033318",
            "telephone_number": "650-724-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Meadow Dr",
            "address_purpose": "LOCATION",
            "city": "Stateline",
            "state": "NV",
            "postal_code": "89449",
            "country_code": "US",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Meadow Dr",
            "address_purpose": "LOCATION",
            "city": "Stateline",
            "state": "NV",
            "postal_code": "89449",
            "country_code": "US",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIGAL",
        "first_name": "CHIVONNE",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "14425",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A104593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.