Vadim Chudnovsky, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A48658 Issued in CA

Practice address

2601 E Chapman Ave
Orange, CA 92869-3206

Phone

(714) 633-0011

Fax

(714) 835-3287

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vadim Chudnovsky MD

  • Diagnostic Radiology Physician
  • Orange, CA
  • NPI 1992974190
  NPD (past) Authorized official
• Santa Ana Tustin Radiology Medical Group

  • Diagnostic Radiology Physician
  • Santa Ana, CA
  • NPI 1972531036
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514246400000",
    "number": "1922049394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W ACEQUIA AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916126",
            "telephone_number": "559-627-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E CHAPMAN AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693206",
            "telephone_number": "714-633-0011",
            "fax_number": "714-835-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUDNOVSKY",
        "first_name": "VADIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2017-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A48658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A486580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frederick Chua, M.D.
• Jessica Chieh-Ting Chuang, M.D.
• Kai-Wen Chuang, M.D.
• Sharrow Chuang, DDS
• Ifeanacho Uchenna Chuba
• Daniel F. Chueh, M.D.
• Angel Lee Chui
• Luis Antonio Chui, M.D
• Anastasia P. Chumakova, MD
• Ethan Tri Chun

• Diagnostic Radiology Physician in Orange, CA
• Providers in Orange, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2017; 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.