Tracy Marie Chamberlain, CADC II-CA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

AII050300218 Issued in CA

Practice address

24012 Calle de la Plata Ste 485
Laguna Hills, CA 92653-7631

Phone

(949) 510-0043

Fax

(949) 234-9634

NPI assigned

Jun 3, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1912573536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24012 CALLE DE LA PLATA STE 485",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537631",
            "telephone_number": "949-510-0043",
            "fax_number": "949-234-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24012 CALLE DE LA PLATA STE 485",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926537631",
            "telephone_number": "949-510-0043",
            "fax_number": "949-234-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERLAIN",
        "first_name": "TRACY",
        "middle_name": "MARIE",
        "credential": "CADC II-CA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "AII050300218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LagunaHills",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "LagunaHills",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "LagunaHills",
            "address_1": "24012 Calle De La Plata Ste 485",
            "city": "Laguna Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926537631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kavaljit K Chahal, N.P.
• Pathida Emma Chaichan Nartea
• Patrick Prateep Chaipat, M.D.
• Mincy Chakkalakal
• Netdao Chaloeilap
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• Linda Chan, M.D.
• TSZ Chuen Chan, M.D.
• Amarpal Chana, M.D.
• Chandra Chaikin Ms Licensedmarriage

• Addiction (Substance Use Disorder) Counselor in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; 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.