Organization Active NPI

Kevin J. Chamas Inc.

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1689868259
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G058541 Issued in CA
Legal business name
KEVIN J. CHAMAS INC.
Practice address
3333 Manning Ave
Los Angeles, CA 90064-4804
Phone
(310) 564-2005
NPI assigned
Aug 28, 2007
Last updated
Jul 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Dr. Kevin Justin Chamas, M.D.
Title
Ceo and President
Phone
(310) 564-2005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G058541 CA Primary

Addresses

Primary practice location

3333 Manning Ave
Los Angeles, CA 90064-4804

Mailing address

802 Dickson St
Marina del Rey, CA 90292-5511
Phone (310) 564-2005

National Provider Directory

National Provider Directory

Locations

3333 Manning Ave
Los Angeles, CA 90064
Phone (310) 564-2005

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1689868259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 DICKSON ST",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925511",
            "telephone_number": "310-564-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 MANNING AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900644804",
            "telephone_number": "310-564-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN J. CHAMAS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "CHAMAS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JUSTIN",
        "authorized_official_title_or_position": "CEO AND PRESIDENT",
        "authorized_official_telephone_number": "310-564-2005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G058541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.