Parakrama T Chandrasoma MD a Medical Corporation

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

PARAKRAMA T CHANDRASOMA MD A MEDICAL CORPORATION

Practice address

405 Linda Vista Ave
Pasadena, CA 91105-1237

Phone

(626) 304-1055

Fax

(323) 441-8183

NPI assigned

Sep 8, 2005

Last updated

Apr 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Parakrama T Chandrasoma, M.D.NPI 1467446013

Title

President

Phone

(323) 409-4600

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Parakrama T Chandrasoma, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Pasadena, CA
  • NPI 1467446013
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1730173386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 LINDA VISTA AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911051237",
            "telephone_number": "626-304-1055",
            "fax_number": "323-441-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 LINDA VISTA AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911051237",
            "telephone_number": "626-304-1055",
            "fax_number": "323-441-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARAKRAMA T CHANDRASOMA MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "CHANDRASOMA",
        "authorized_official_first_name": "PARAKRAMA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-409-4600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A342840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Anatomic Pathology & Clinical Pathology Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.