Individual provider Active NPI

Chester Mojica, M.D.

  • Family Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1952416604
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A51549 Issued in CA
Practice address
431 N Tustin Ave
Suite B
Santa Ana, CA 92705-3821
Phone
(714) 558-1124
Fax
(714) 558-1125
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A51549 CA Primary

Addresses

Primary practice location

431 N Tustin Ave
Suite B
Santa Ana, CA 92705-3821

Mailing address

5489 E Suncrest Rd
Anaheim, CA 92807-3743
Phone (714) 283-3507

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200114002151 CA Practitioner - Family Practice 5193067924 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A51549CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central City Community Health Center Inc CurrentSince Dec 11, 2019 Accepting new patients
Central City Community Health Center Inc General Practice CurrentSince Dec 11, 2019 Accepting new patients
Central City Community Health Center Inc General Practice Current Accepting new patients

Locations

12511 Brookhurst St
Garden Grove, CA 92840
Phone (714) 534-5050

2019 Saturn St
Monterey Park, CA 91755
Phone (323) 724-0019

1000 San Gabriel Blvd
Ste 200
Rosemead, CA 91770
Phone (323) 724-0019

12116 Beach Blvd
Stanton, CA 90680
Phone (714) 498-2222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952416604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5489 E SUNCREST RD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928073743",
            "telephone_number": "714-283-3507",
            "fax_number": "714-279-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 N TUSTIN AVE",
            "address_2": "SUITE B",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053821",
            "telephone_number": "714-558-1124",
            "fax_number": "714-558-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOJICA",
        "first_name": "CHESTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A51549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.