Active NPI
Esther Liba Chodakiewitz, MD QME
- Psychiatry Physician
- Chino, CA
National Provider Identifier
1770798902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A49129
- Practice address
- 11800 Central Ave
#125
Chino, CA 91710 - Phone
- (909) 364-9994
- Fax
- (909) 364-9322
- NPI assigned
- May 11, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A49129 | CA | Primary |
Addresses
Primary practice location
11800 Central Ave
#125
Chino, CA 91710
Mailing address
11800 Central Ave
Chino, CA 91710-7202
Phone (909) 364-9994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49129 | CA | MD | Marriage & Family Therapist |
| A49129 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magellan Health Services of Arizona, Inc | Past | Accepting new patients | |
| Vo of Arizona, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1194965145
-
- Clinical Medical Laboratory
- Glendale, AZ
- NPI 1447458682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1770798902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11800 CENTRAL AVE",
"city": "CHINO",
"state": "CA",
"postal_code": "917107202",
"telephone_number": "909-364-9994",
"fax_number": "909-364-9322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11800 CENTRAL AVE",
"address_2": "#125",
"city": "CHINO",
"state": "CA",
"postal_code": "91710",
"telephone_number": "909-364-9994",
"fax_number": "909-364-9322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHODAKIEWITZ",
"first_name": "ESTHER",
"middle_name": "LIBA",
"name_prefix": "Ms.",
"credential": "MD QME",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A49129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.