Active NPI
Larry J. Chamow, PHD
- Specialist
- Carlsbad, CA
National Provider Identifier
1740307677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- M7588
- Practice address
- 2777 Jefferson St
Carlsbad, CA 92008-1743 - Phone
- (760) 434-1416
- Fax
- (760) 434-6433
- NPI assigned
- Mar 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | M7588 | CA | Primary |
Addresses
Primary practice location
2777 Jefferson St
Carlsbad, CA 92008-1743
Mailing address
2777 Jefferson St Ste 201
Carlsbad, CA 92008-1743
Phone (760) 434-1416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 7, 2024 through Feb 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M7588 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740307677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2777 JEFFERSON ST STE 201",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081743",
"telephone_number": "760-434-1416",
"fax_number": "760-434-6433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2777 JEFFERSON ST",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081743",
"telephone_number": "760-434-1416",
"fax_number": "760-434-6433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAMOW",
"first_name": "LARRY",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "M7588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.