Individual provider Active NPI

Anil Chawla, MD

  • Family Medicine Physician
  • Ventura, CA
National Provider Identifier
1790708998
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A41276 Issued in CA
Practice address
200 S Wells Rd
Suite 100
Ventura, CA 93004
Phone
(805) 659-1740
Fax
(805) 659-9959
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A41276 CA Primary

Addresses

Primary practice location

200 S Wells Rd
Suite 100
Ventura, CA 93004

Mailing address

200 S Wells Rd
Suite 200
Ventura, CA 93004-1377
Phone (805) 659-1740

Other practice location 1

1227 E Los Angeles Ave
Simi Valley, CA 93065-2871
Phone (805) 582-4000

Other identifiers 1

IdentifierTypeStateIssuer
00A4127MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anil.chawla@ventura.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100923000187 CA Practitioner - General PracticePractitioner - Pathology 0143314963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
64.51
Promoting interoperability
100
Improvement activities
40
Cost
72.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A41276CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Mar 18, 2019 Accepting new patients
County of Ventura Current Accepting new patients
County of Ventura Current Accepting new patients
Clinicas del Camino Real Inc Past Accepting new patients
Clinicas del Camino Real Inc Past Accepting new patients

Locations

1227 E Los Angeles Ave
Simi Valley, CA 93065
Phone (805) 582-4000

800 S Victoria Ave
#L4615
Ventura, CA 93009
Phone (805) 677-5181

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

800 S Victoria Ave
#L4640
Ventura, CA 93009

Interoperability endpoints

  • Direct secure messaging: anil.chawla@ventura.cernerdirect.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Clinicas del Camino Real Inc MoorparkMoorpark, CA, CCN 551172 Federally qualified health center Corporate Director
W-2 Managing Employee
Operational/Managerial Control
Oct 16, 1986
Oct 16, 1986
Oct 16, 1986

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1790708998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S WELLS RD",
            "address_2": "SUITE 200",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930041377",
            "telephone_number": "805-659-1740",
            "fax_number": "805-659-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S WELLS RD",
            "address_2": "SUITE 100",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "93004",
            "telephone_number": "805-659-1740",
            "fax_number": "805-659-9959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1227 E Los Angeles Ave",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930652871",
            "country_code": "US",
            "telephone_number": "805-582-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAWLA",
        "first_name": "ANIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A41276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A4127",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anil.chawla@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Information",
            "address_1": "1227 E Los Angeles Ave",
            "city": "Simi Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930652871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.