Active NPI
Chonghao Zhao, M.D., PHD, DABMA
- Specialist
- San Gabriel, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A66257
- Practice address
- 420 W Las Tunas Dr
San Gabriel, CA 91776-1268 - Phone
- (626) 457-1688
- Fax
- (626) 457-1638
- NPI assigned
- Mar 14, 2007
- Last updated
- Oct 25, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A66257 | CA | Primary |
Addresses
Primary practice location
420 W Las Tunas Dr
San Gabriel, CA 91776-1268
Mailing address
420 W Las Tunas Dr
San Gabriel, CA 91776-1268
Phone (626) 457-1688
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
420 W Las Tunas Dr
San Gabriel, CA 91776-1268
Phone (626) 457-1688
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Headache and Pain Specialist, Inc. | Current | Accepting new patients | |
| Providence Health System - Southern California | Past | Accepting new patients | |
| Western Pain and Headache Center, Inc. | Specialist | Past | Accepting new patients |
| Ahmc San Gabriel Valley Medical | Past | Accepting new patients |
Locations
420 W Las Tunas Dr
San Gabriel, CA 91776
Phone (626) 296-9500
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pain Medicine (Psychiatry & Neurology) Physician
- San Gabriel, CA
- NPI 1235118068
-
dba Advanced Pain Center
- Specialist
- Alhamabra, CA
- NPI 1356405591
-
dba AHMC San Gabriel Valley Medical Center
- Skilled Nursing Facility
- San Gabriel, CA
- NPI 1710174818
-
dba Providence Saint Joseph Medical Center
- General Acute Care Hospital
- Burbank, CA
- NPI 1336173269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508889600000",
"number": "1902930019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 W LAS TUNAS DR",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761268",
"telephone_number": "626-457-1688",
"fax_number": "626-457-1638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 W LAS TUNAS DR",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917761268",
"telephone_number": "626-457-1688",
"fax_number": "626-457-1638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZHAO",
"first_name": "CHONGHAO",
"name_prefix": "Dr.",
"credential": "M.D., PHD, DABMA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2017-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A66257",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Gabriel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.