Active NPI
Nagaraj M Chetty,M.D. Inc.
- Specialist
- Van Nuys, CA
National Provider Identifier
1770712663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A36605
- Legal business name
- NAGARAJ M CHETTY,M.D. INC.
- Practice address
- 15211 Vanowen St
#209
Van Nuys, CA 91405-3606 - Phone
- (818) 997-0422
- Fax
- (818) 997-1888
- NPI assigned
- Jul 13, 2009
- Organization subpart
- Yes
- Parent organization
- NAGARAJ M CHETTY,M.D. INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nagaraj M Chetty, M.D.
- Title
- Internal Med/Gastroenterology
- Phone
- (818) 997-0422
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A36605 | CA | Primary |
| Specialist | 174400000X | A89366 | CA |
Addresses
Primary practice location
15211 Vanowen St
#209
Van Nuys, CA 91405-3606
Mailing address
15211 Vanowen St
#209
Van Nuys, CA 91405-3606
Phone (818) 997-0422
National Provider Directory
National Provider Directory- Part of
- Nagaraj M Chetty MD
Locations
14124 Foothill Blvd
Ste 101
Sylmar, CA 91342
Phone (818) 367-1012
15211 Vanowen St
Ste 209
Van Nuys, CA 91405
Phone (818) 997-0422
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Gastroenterology Physician
- Sylmar, CA
- NPI 1588876726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257724800000",
"number": "1770712663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15211 VANOWEN ST",
"address_2": "#209",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914053606",
"telephone_number": "818-997-0422",
"fax_number": "818-997-1888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15211 VANOWEN ST",
"address_2": "#209",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914053606",
"telephone_number": "818-997-0422",
"fax_number": "818-997-1888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAGARAJ M CHETTY,M.D. INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NAGARAJ M CHETTY,M.D. INC",
"enumeration_date": "2009-07-13",
"last_updated": "2009-11-09",
"status": "A",
"authorized_official_last_name": "CHETTY",
"authorized_official_first_name": "NAGARAJ",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "INTERNAL MED/GASTROENTEROLOGY",
"authorized_official_telephone_number": "818-997-0422",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "A36605",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "A89366",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.