Edith SW Chak

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95037532 Issued in CA

Practice address

6801 Park Ter Ste 525
Los Angeles, CA 90045-1542

Phone

(310) 270-0625

NPI assigned

Nov 6, 2025

Last updated

Nov 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Steven L Mandel M D a Professional Corporation

  dba Ketamine Clinics of Los Angeles

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1366641722
  NPD
• Ketamine Clinics LLC

  dba Ketamine Clinics of Los Angeles

  • Ambulatory Surgical Clinic/Center
  • Los Angeles, CA
  • NPI 1154894616
  NPD (past)

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

{
    "created_epoch": "1762387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1700756640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 PALO ALTO DR",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910076420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 PARK TER STE 525",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900451542",
            "telephone_number": "310-270-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAK",
        "first_name": "EDITH",
        "middle_name": "SW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95037532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janel Chairez
• Pauline Chairez
• Elaine D. Chaisson, PH.D.
• Howard I Chait, MD
• Stephanie C Chaj-Perez
• Michael Guy Chakar
• Marlene Chakardjian, LVN
• Jaideep Chakladar
• Haia Chakoukani, MD
• Yervand Chakryan, DO, MS

• Psychiatric/Mental Health Nurse Practitioner in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.