Organization Active NPI

Caroucel Kim Chuateco MD Apc

  • Cardiovascular Disease Physician
  • Los Angeles, CA
National Provider Identifier
1841216223
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
C25993 Issued in CA
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Caroucel Kim Chuateco, MDNPI 1174554059
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
GR0098610MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.