Individual provider Active NPI

Liviu A. Chindris, M.D

  • Internal Medicine Physician
  • Sierra Madre, CA
National Provider Identifier
1730156472
Registry record updated Jul 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A 45753 Issued in CA
Practice address
80 W Sierra Madre Blvd
# 352
Sierra Madre, CA 91024-2434
Phone
(310) 480-4556
NPI assigned
Mar 1, 2006
Last updated
Jul 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A 45753 CA Primary

Addresses

Primary practice location

80 W Sierra Madre Blvd
# 352
Sierra Madre, CA 91024-2434

Mailing address

700 N. Brand Blvd
Suite: 1400
Glendale, CA 91203
Phone (818) 855-2205

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080716000423 CA Practitioner - Internal Medicine 4789585464 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A 45753CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Medical Solutions Inc a Medical Group Internal Medicine CurrentSince Jan 12, 2020 Accepting new patients
Liviu Chindris MD, Inc. Internal Medicine Past Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine Past Accepting new patients

Locations

8920 Wilshire Blvd
Ste 310
Beverly Hills, CA 90211
Phone (310) 256-2426

14860 Roscoe Blvd
Ste 200
Panorama City, CA 91402
Phone (818) 830-7751

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice of Orange County, Inc.Fullerton, CA, CCN A01508 Hospice 5% Or Greater Direct Ownership Interest (12.5%)
Corporate Officer
Dec 1, 2020
Dec 1, 2020
Butterfly HospiceUpland, CA, CCN A01592 Hospice 5% Or Greater Direct Ownership Interest (12.5%)
Corporate Officer
Corporate Director (25%)
Dec 1, 2020
Aug 9, 2019
Aug 9, 2019

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499040000000",
    "number": "1730156472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N. BRAND BLVD",
            "address_2": "SUITE: 1400",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91203",
            "telephone_number": "818-855-2205",
            "fax_number": "818-855-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 W SIERRA MADRE BLVD",
            "address_2": "# 352",
            "city": "SIERRA MADRE",
            "state": "CA",
            "postal_code": "910242434",
            "telephone_number": "310-480-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINDRIS",
        "first_name": "LIVIU",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2017-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A 45753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Madre, CA

Sources for this page

Verify at the official NPI Registry.