Individual provider Active NPI

Jerome Allen Chatow, M.D.

  • Ophthalmology Physician
  • Palm Desert, CA
National Provider Identifier
1891060646
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
GFE9522 Issued in CA
Practice address
35935 Royal Sage CT
Palm Desert, CA 92211-2717
Phone
(760) 772-1147
Fax
(206) 203-1274
NPI assigned
Mar 13, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X GFE9522 CA Primary

Addresses

Primary practice location

35935 Royal Sage CT
Palm Desert, CA 92211-2717

Mailing address

35935 Royal Sage CT
Palm Desert, CA 92211-2717
Phone (760) 772-1147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
GFE9522CAMDOphthalmology Physician
9522CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331596800000",
    "number": "1891060646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35935 ROYAL SAGE CT",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922112717",
            "telephone_number": "760-772-1147",
            "fax_number": "206-203-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35935 ROYAL SAGE CT",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922112717",
            "telephone_number": "760-772-1147",
            "fax_number": "206-203-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATOW",
        "first_name": "JEROME",
        "middle_name": "ALLEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "GFE9522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.