Active NPI
Shawn D Chustz
- Case Management Agency
- Los Angeles, CA
National Provider Identifier
1932386042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Practice address
- 3606 West Exposition Blvd
Los Angeles, CA 90016 - Phone
- (323) 298-3577
- Fax
- (323) 296-3049
- NPI assigned
- Jan 31, 2008
- Last updated
- Jan 31, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
3606 West Exposition Blvd
Los Angeles, CA 90016
Mailing address
9500 East Imperial Hwy
RM P-31
Downey, CA 90242
Phone (562) 940-3694
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crenshaw Area Office | Case Management | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201737600000",
"number": "1932386042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 EAST IMPERIAL HWY",
"address_2": "RM P-31",
"city": "DOWNEY",
"state": "CA",
"postal_code": "90242",
"telephone_number": "562-940-3694",
"fax_number": "562-658-4725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3606 WEST EXPOSITION BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90016",
"telephone_number": "323-298-3577",
"fax_number": "323-296-3049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUSTZ",
"first_name": "SHAWN",
"middle_name": "D",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-31",
"last_updated": "2008-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.