Individual provider Active NPI

Prachi Singh Chauhan, MD

  • Pediatrics Physician
  • Manteca, CA
National Provider Identifier
1841550746
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A135216 Issued in CA
Practice address
1144 Norman Dr
Suite 203B
Manteca, CA 95336-5925
Phone
(209) 239-6008
NPI assigned
May 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A135216 CA Primary

Addresses

Primary practice location

1144 Norman Dr
Suite 203B
Manteca, CA 95336-5925

Mailing address

1144 Norman Dr
Suite 203B
Manteca, CA 95336-5925
Phone (209) 239-6008

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
I20170223002357 CA Practitioner - Pediatric Medicine 2365726056 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A135216CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LPCH Medical Group Div of Lucile Pediatrics CurrentSince Jan 11, 2017 Accepting new patients
Stanford Health Care Tri-Valley Past Accepting new patients
First Choice Physician Partners Pediatrics Past Accepting new patients
San Ramon Regional Medical Center, LLC Past Accepting new patients

Locations

1134 Murrieta Blvd
Livermore, CA 94550
Phone (925) 449-7795

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

4598 S Tracy Blvd
Ste 110
Tracy, CA 95377
Phone (209) 835-8551

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1841550746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1144 NORMAN DR",
            "address_2": "SUITE 203B",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365925",
            "telephone_number": "209-239-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 NORMAN DR",
            "address_2": "SUITE 203B",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365925",
            "telephone_number": "209-239-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUHAN",
        "first_name": "PRACHI",
        "middle_name": "SINGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A135216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteca, CA

Sources for this page

Verify at the official NPI Registry.