Vijay Naidu Chennamchetty, MD, MPH

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A 95101 Issued in CA

Practice address

1000 Broadway
Suite 210
El Cajon, CA 92021-7417

Phone

(619) 401-5500

Fax

(619) 401-5454

NPI assigned

Jun 29, 2007

Last updated

Jan 24, 2017By 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 names 1

• Vijay Kumar Naidu Chennamchetty Jayaprakash Other name

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

Specialty

PsychiatryAlso: Geriatric Psychiatry

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of San DiegoGroup PAC ID 8123014057, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• County of San Diego

  • Public Health or Welfare Agency
  • San Diego, CA
  • NPI 1225255375
  Medicare reassignment Care Compare group NPD
• Pacific Heritage Medical Group Inc

  • Geriatric Psychiatry Physician
  • Westlake Village, CA
  • NPI 1467899450
  Medicare reassignment NPD
• Asana Integrated Medical Group PC

  • Psychiatry Physician
  • Sioux Falls, SD
  • NPI 1396783379

  CA

  Medicare reassignment NPD
• County of San Diego

  dba San Diego County Fire Protection District

  • Ambulance
  • San Diego, CA
  • NPI 1316685159
  NPD
• County of San Diego

  • Community/Behavioral Health Agency
  • El Cajon, CA
  • NPI 1740348242
  NPD

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1811194145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BROADWAY",
            "address_2": "SUITE 210",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920217417",
            "telephone_number": "619-401-5500",
            "fax_number": "619-401-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BROADWAY",
            "address_2": "SUITE 210",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920217417",
            "telephone_number": "619-401-5500",
            "fax_number": "619-401-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENNAMCHETTY",
        "first_name": "VIJAY",
        "middle_name": "NAIDU",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A 95101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIJAY KUMAR",
            "last_name": "CHENNAMCHETTY JAYAPRAKASH",
            "middle_name": "NAIDU",
            "credential": "MD, MPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Roxanna P Chavez, IBCLC
• Manuel Chavoya
• Isabelle Chen
• Yang Chen
• Ying-Ju Anna Chen, O.D.
• Assil Chhina
• Jennifer Yeh Chiang, M.D.
• Stephanie Chin
• Nicholas Anthony Chinchilla, PTA
• Melinda Sue Chiemi Chinen

• Psychiatry Physician in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.
• 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.

Verify at the official NPI Registry.