Active NPI
Sneha Chintamaneni, MD
- Pediatrics Physician
- Tustin, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A155815
- Practice address
- 15000 Kensington Park Dr Ste 200
Tustin, CA 92782-1831 - Phone
- (714) 477-8310
- NPI assigned
- Apr 8, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A155815 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
15000 Kensington Park Dr Ste 200
Tustin, CA 92782-1831
Mailing address
15000 Kensington Park Dr Ste 200
Tustin, CA 92782-1831
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq | Health Information Exchange (HIE) | Southern California Permanente Medical Group |
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 |
|---|---|---|---|
| A155815 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Rees-Stealy Medical Group, Inc | Pediatrics | Current | Accepting new patients |
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Hoag Clinic | Current | Accepting new patients | |
| Hoag Hospital | Past | Accepting new patients | |
| Sharp Memorial Hospital | Past | Accepting new patients |
Locations
6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000
4733 W Sunset Blvd
Fl 3
Los Angeles, CA 90027
Phone (323) 783-1431
4733 W Sunset Blvd
Los Angeles, CA 90027
Phone (213) 667-4784
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
1031 Avenida Pico
Ste 204
San Clemente, CA 92673
Phone (949) 829-5533
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
10243 Genetic Center Dr
San Diego, CA 92121
Phone (858) 499-2704
4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038
1255 W Arrow Hwy
San Dimas, CA 91773
Phone (909) 394-2526
15000 Kensington Park Dr
Ste 200
Tustin, CA 92782
Phone (714) 477-8310
Interoperability endpoints
- https://api.platform.athenahealth.com/10944/brand/3/csg/1/fhir/r4
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 7
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.
-
- Primary Care Clinic/Center
- Newport Beach, CA
- NPI 1942799523
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1285616177
Pediatrics
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Optometrist
- San Diego, CA
- NPI 1063172351
-
- Health Maintenance Organization
- Los Angeles, CA
- NPI 1043242563
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1689864365
-
dba Sharp Allison deRose Rehabilitation Center
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711670400000",
"number": "1710341474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15000 KENSINGTON PARK DR STE 200",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927821831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15000 KENSINGTON PARK DR STE 200",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927821831",
"telephone_number": "714-477-8310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINTAMANENI",
"first_name": "SNEHA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-08",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A155815",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "Southern California Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "4647 Zion Ave",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921202507",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tustin, CA
- Elsi Chica
- Child and Adolescent Behavioral Health Center
- Child and Adolescent Behavioral Health Center, a Psychology Corp. (Cabhc)
- Aleen Chin, MD
- Karla Maria Chinchilla Castro, ASW
- Chitra Bhakta M.D.a Professional Corporation (Oc Integrative Medical Center)
- Edwin Chiu
- Denise Chludniewicz
- Jae Bome Cho, LAC.,OMD
- Stanley W Cho, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.