Marc David Chalet, M.D.

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

G38996 Issued in CA

Practice address

2811 Wilshire Blvd
Suite 615
Santa Monica, CA 90403-4803

Phone

(310) 828-4071

Fax

(310) 828-6734

NPI assigned

Jul 2, 2006

Last updated

Mar 13, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Marc D. Chalet, MD, Inc.

  • Dermatopathology Physician
  • Santa Monica, CA
  • NPI 1114112711
  NPD (past) Authorized official
• Van Dyke Yun Medical Group Pacific Dermatopathology & Jasmine Yun MD a

  dba Pacific Dermatopathology

  • Dermatopathology (Pathology) Physician
  • Studio City, CA
  • NPI 1013220722
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1780613588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BLVD",
            "address_2": "SUITE 615",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034803",
            "telephone_number": "310-828-4071",
            "fax_number": "310-828-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BLVD",
            "address_2": "SUITE 615",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034803",
            "telephone_number": "310-828-4071",
            "fax_number": "310-828-6734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALET",
        "first_name": "MARC",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "G38996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G389960",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "G38996",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G389960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanna M Ceppi, PSY.D.
• Lisa Cerra, OTR/L
• Roula Chaaban, RPH
• Lisa Martine Chaiken, MD
• Sulagna Chakraborty Chakraburty Saitta, M.D., PH.D.
• Julie Jean Chambers, L.AC.
• Margot Ellyn Chambers, L.AC.
• Anders Chan
• Chun Hin Chan, MD
• John Paul Chan, DPT

• Dermatopathology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Dermatopathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.