Active NPI
Caroucel Kim Chuateco MD Apc
- Cardiovascular Disease Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- C25993
- Legal business name
- CAROUCEL KIM CHUATECO MD APC
- Practice address
- 1663 Beverly Blvd Ste 101
Los Angeles, CA 90026-5747 - Phone
- (213) 250-0235
- Fax
- (213) 250-0439
- NPI assigned
- Jul 15, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Caroucel Kim Chuateco, MD
- Title
- President
- Phone
- (213) 250-0235
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A85249 | CA | |
| Cardiovascular Disease Physician | 207RC0000X | C25993 | CA | Primary |
Addresses
Primary practice location
1663 Beverly Blvd Ste 101
Los Angeles, CA 90026-5747
Mailing address
1663 Beverly Blvd Ste 101
Los Angeles, CA 90026-5747
Phone (213) 250-0235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0098610 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
1663 Beverly Blvd
Ste 101
Los Angeles, CA 90026
Phone (213) 250-0235
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1174554059
-
- Family Nurse Practitioner
- Los Angeles, CA
- NPI 1750717211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1841216223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1663 BEVERLY BLVD STE 101",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900265747",
"telephone_number": "213-250-0235",
"fax_number": "213-250-0439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1663 BEVERLY BLVD STE 101",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900265747",
"telephone_number": "213-250-0235",
"fax_number": "213-250-0439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROUCEL KIM CHUATECO MD APC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-15",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "CHUATECO",
"authorized_official_first_name": "CAROUCEL",
"authorized_official_middle_name": "KIM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "213-250-0235",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A85249",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "C25993",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0098610",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.