NPIMap

Individual provider Active NPI

Mohammad Asif Chaudhry, M.D

  • Internal Medicine Physician
  • Montebello, CA
National Provider Identifier
1760423669
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A54998 Issued in CA
Practice address
101 E Beverly Blvd
Ste 401
Montebello, CA 90640-4317
Phone
(323) 722-2260
Fax
(323) 722-2130
NPI assigned
Jun 10, 2006
Last updated
Jan 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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 A54998 CA Primary

Addresses

Primary practice location

101 E Beverly Blvd
Ste 401
Montebello, CA 90640-4317

Mailing address

101 E Beverly Blvd
Ste 401
Montebello, CA 90640-4317
Phone (323) 722-2260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060725000480 CA Practitioner - Internal Medicine 4789697418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 E Beverly Blvd
Suite 401
Montebello, CA 90640-4317
Phone (323) 722-2260

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A54998CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mohammad a Chaudhry MD a Professional Corporation Internal Medicine CurrentSince May 3, 2007 Accepting new patients
Southern California Specialty Care, LLC Past Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients
Barlow Respiratory Hospital Past Accepting new patients
Ahmc Greater El Monte Comm Hosp LLC Past Accepting new patients

Locations

101 E Beverly Blvd
Ste 401
Montebello, CA 90640
Phone (323) 722-2260

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Pico Rivera Healthcare CenterPico Rivera, CA, CCN 055170 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 20, 2007
Jul 20, 2007

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1760423669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E BEVERLY BLVD",
            "address_2": "STE 401",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404317",
            "telephone_number": "323-722-2260",
            "fax_number": "323-722-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BEVERLY BLVD",
            "address_2": "STE 401",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404317",
            "telephone_number": "323-722-2260",
            "fax_number": "323-722-2130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHRY",
        "first_name": "MOHAMMAD",
        "middle_name": "ASIF",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A54998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

Verify at the official NPI Registry.