Active NPI
Elizabeth Anne Chase, M.D.
- Pediatrics Physician
- Pacific Palisades, CA
National Provider Identifier
1770825796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- AO61252
- Practice address
- 910 Via de la Paz Ste 203
Pacific Palisades, CA 90272-3545 - Phone
- (310) 454-2602
- Fax
- (310) 454-7514
- NPI assigned
- Mar 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | AO61252 | CA | |
| Pediatrics Physician | 208000000X | AO61252 | CA | Primary |
Addresses
Primary practice location
910 Via de la Paz Ste 203
Pacific Palisades, CA 90272-3545
Mailing address
910 Via de la Paz Ste 203
Pacific Palisades, CA 90272-3545
Phone (310) 454-2602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AO61252 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363564800000",
"number": "1770825796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 VIA DE LA PAZ STE 203",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902723545",
"telephone_number": "310-454-2602",
"fax_number": "310-454-7514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 VIA DE LA PAZ STE 203",
"city": "PACIFIC PALISADES",
"state": "CA",
"postal_code": "902723545",
"telephone_number": "310-454-2602",
"fax_number": "310-454-7514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASE",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-18",
"last_updated": "2013-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "AO61252",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "AO61252",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pacific Palisades, CA
- Hyla Cass, M.D.
- Center for Health Enhancement and
- Cerisa Moncayo D.D.S. Dental Corporation (The Palisades Dentists)
- Alan Jason Chagy, M.D.
- Charter Operated Programs Option 3 Consortium
- Devora Cohen, MD
- Luke S Cohen, DC
- Cypress Physical Therapy Center, Inc.
- Damon B. Raskin MD Inc
- Damon B. Raskin MD Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.