Organization Active NPI

Nagaraj M Chetty,M.D. Inc.

  • Specialist
  • Van Nuys, CA
National Provider Identifier
1770712663
Registry record updated Nov 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A36605 Issued in CA
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. INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 9, 2009

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X A36605 CA Primary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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.

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.

Verify at the official NPI Registry.