Individual provider Active NPI

Chet Khay, NP

  • Family Nurse Practitioner
  • San Juan Capistrano, CA
National Provider Identifier
1861812810
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95000434 Issued in CA
Practice address
32531 Del Zura
San Juan Capistrano, CA 92675-4197
Phone
(562) 714-3383
NPI assigned
Apr 17, 2014
Last updated
Apr 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95000434 CA Primary

Addresses

Primary practice location

32531 Del Zura
San Juan Capistrano, CA 92675-4197

Mailing address

32531 Del Zura
San Juan Capistrano, CA 92675-4197
Phone (562) 714-3383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
B Well Wounds, Inc. Family Current Accepting new patients
Hospice of Peace Inc. Current Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1861812810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32531 DEL ZURA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754197",
            "telephone_number": "562-714-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32531 DEL ZURA",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754197",
            "telephone_number": "562-714-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAY",
        "first_name": "CHET",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.