NPIMap

Organization Active NPI

Om P. Chaurasia, MD, Inc.

Doing business as Pacific Gastroenterology Medical Associates, Inc.

  • Gastroenterology Physician
  • Mission Viejo, CA
National Provider Identifier
1932232576
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
OM P. CHAURASIA, MD, INC.
Doing business as
Pacific Gastroenterology Medical Associates, Inc.
Practice address
26421 Crown Valley Pkwy
Suite 140a
Mission Viejo, CA 92691-8564
Phone
(949) 365-8836
Fax
(949) 365-8837
NPI assigned
Mar 13, 2007
Last updated
Jun 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Authorized official

Name
Dr. Om P Chaurasia, MDNPI 1528136702
Title
President
Phone
(949) 365-8836

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

26421 Crown Valley Pkwy
Suite 140a
Mission Viejo, CA 92691-8564

Mailing address

26421 Crown Valley Pkwy
Suite 140a
Mission Viejo, CA 92691-8564
Phone (949) 365-8836

Other names 1

  • Pacific Gastroenterology Medical Associates, Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101221001169 CA Part B Supplier - Clinic/Group Practice 8123216884 Receives reassigned benefits from 14 practitioners
Practice locations: Mission Viejo, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0951697Om P Chaurasia, MD26421 Crown Valley Pkwy, Ste 140a, Mission Viejo, CA 92691ComplianceSep 15, 2026

National Provider Directory

National Provider Directory

Locations

26421 Crown Valley Pkwy
Ste 122
Mission Viejo, CA 92691
Phone (949) 365-8836

26421 Crown Valley Pkwy
Ste 140A
Mission Viejo, CA 92691
Phone (949) 365-8836

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433289600000",
    "number": "1932232576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26421 CROWN VALLEY PKWY",
            "address_2": "SUITE 140A",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918564",
            "telephone_number": "949-365-8836",
            "fax_number": "949-365-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26421 CROWN VALLEY PKWY",
            "address_2": "SUITE 140A",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918564",
            "telephone_number": "949-365-8836",
            "fax_number": "949-365-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OM P. CHAURASIA, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2015-06-03",
        "status": "A",
        "authorized_official_last_name": "CHAURASIA",
        "authorized_official_first_name": "OM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-365-8836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Gastroenterology Medical Associates, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.