Active NPI
Anil Chawla, MD
- Family Medicine Physician
- Ventura, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A41276
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A4127 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.02 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A41276 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Ventura | Current | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Clinicas del Camino Real Inc Moorpark | 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.
-
- Federally Qualified Health Center (FQHC)
- Moorpark, CA
- NPI 1841556404
Corporate Director, Operational/Managerial Control, W-2 Managing Employee
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.
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1629167457
-
- Federally Qualified Health Center (FQHC)
- Thousand Oaks, CA
- NPI 1316188253
-
- Community/Behavioral Health Agency
- Simi Valley, CA
- NPI 1609098243
-
- Community Health Clinic/Center
- Oxnard, CA
- NPI 1235866138
-
- Federally Qualified Health Center (FQHC)
- Ventura, CA
- NPI 1679631907
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.