Active NPI
Alan Jason Chagy, M.D.
- Anesthesiology Physician
- Pacific Palisades, CA
National Provider Identifier
1689952160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G25852
- Practice address
- 1401 Fermo Dr
Pacific Palisades, CA 90272-2720 - Phone
- (310) 454-8235
- NPI assigned
- Aug 1, 2011
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G25852 | CA | Primary |
Addresses
Primary practice location
1401 Fermo Dr
Pacific Palisades, CA 90272-2720
Mailing address
1401 Fermo Dr
Pacific Palisades, CA 90272-2720
Phone (310) 454-8235
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G25852 | CA | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312156800000",
"number": "1689952160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 FERMO DR",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902722720",
"telephone_number": "310-454-8235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 FERMO DR",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902722720",
"telephone_number": "310-454-8235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAGY",
"first_name": "ALAN",
"middle_name": "JASON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-01",
"last_updated": "2011-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G25852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pacific Palisades, CA
- Lisa Dora Canty, MSW
- Kathryn Hope Carter, MS, LPC, LPCC, ATR-B
- Hyla Cass, M.D.
- Center for Health Enhancement and
- Cerisa Moncayo D.D.S. Dental Corporation (The Palisades Dentists)
- Charter Operated Programs Option 3 Consortium
- Elizabeth Anne Chase, M.D.
- Devora Cohen, MD
- Luke S Cohen, DC
- Cypress Physical Therapy Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.