Organization Active NPI

Chitta Thiagarajah MD a Professional Medical Corporation

  • Pain Medicine (Anesthesiology) Physician
  • Lancaster, CA
National Provider Identifier
1881856458
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
CHITTA THIAGARAJAH MD A PROFESSIONAL MEDICAL CORPORATION
Practice address
44725 N 10TH St W Ste110
Lancaster, CA 93534-3033
Phone
(661) 949-9966
Fax
(661) 949-9926
NPI assigned
Jun 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Authorized official

Name
Kelly J Cara
Title
Biller
Phone
(661) 729-6854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

44725 N 10TH St W Ste110
Lancaster, CA 93534-3033

Mailing address

PO Box 2858
Lancaster, CA 93539-2858
Phone (661) 729-6854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081217000098 CA Part B Supplier - Clinic/Group Practice 3173685740 Receives reassigned benefits from 5 practitioners
Practice locations: Lancaster, CA; Ridgecrest, CA

National Provider Directory

National Provider Directory

Locations

44725 10th St W
Lancaster, CA 93534
Phone (661) 940-7600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1881856458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2858",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935392858",
            "telephone_number": "661-729-6854",
            "fax_number": "661-729-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44725 N 10TH ST W STE110",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343033",
            "telephone_number": "661-949-9966",
            "fax_number": "661-949-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHITTA THIAGARAJAH MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "CARA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "661-729-6854"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.