Active NPI
Erika Laraine Dayanghirang Chico, MD
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1700308640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 125.069842
- Practice address
- 1501 S California Ave Ste L1026
Chicago, IL 60608-1732 - Phone
- (773) 202-5760
- NPI assigned
- Jul 12, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125.069842 | IL | Primary |
Addresses
Primary practice location
1501 S California Ave Ste L1026
Chicago, IL 60608-1732
Mailing address
1501 S California Ave Ste L1026
Chicago, IL 60608-1732
Phone (773) 257-6097
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125.069842 | Other | IL | TEMPORARY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.069842 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midtown Medical Corporation | Current | Accepting new patients | |
| L.S.Olaes,M.D. a Medical Corporation | Current | Accepting new patients | |
| Mount Sinai Hospital | Past | Accepting new patients | |
| Memorial Medical Group Inc | Past | Accepting new patients |
Locations
1267 N Virgil Ave
Los Angeles, CA 90029
Phone (323) 664-7628
1075 N Western Ave
Ste 110
Los Angeles, CA 90029
Phone (213) 861-8700
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://api.platform.athenahealth.com/24860/brand/1/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Health Maintenance Organization
- Los Angeles, CA
- NPI 1043824212
-
- Primary Care Clinic/Center
- Los Angeles, CA
- NPI 1205144912
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1871927053
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1255523643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499817600000",
"number": "1700308640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 S CALIFORNIA AVE STE L1026",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606081732",
"telephone_number": "773-257-6097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 S CALIFORNIA AVE STE L1026",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606081732",
"telephone_number": "773-202-5760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHICO",
"first_name": "ERIKA LARAINE",
"middle_name": "DAYANGHIRANG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-12",
"last_updated": "2017-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125.069842",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEMPORARY LICENSE",
"identifier": "125.069842",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; 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.