Srita Chakka

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A196200 Issued in CA

Practice address

42600 Mirage Rd
Rancho Mirage, CA 92270-4127

Phone

(760) 423-4000

NPI assigned

Mar 23, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Dermatology

Education

Un of California, Riverside, School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Contour Dermatology and Cosmetic Surgery Medical Center ApcGroup PAC ID 5890716146, 17 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: srita.chakka.p1@direct.mmc.nextgenshare.com

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.

• Contour Dermatology and Cosmetic Surgery Medical Center, Apc

  dba Contour Dermatology and Cosmetic Surgery Center

  • Dermatology Physician
  • Rancho Mirage, CA
  • NPI 1063502227
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1972130888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42600 MIRAGE RD",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704127",
            "telephone_number": "760-423-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42600 MIRAGE RD",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704127",
            "telephone_number": "760-423-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46080 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "LA Quinta",
            "state": "CA",
            "postal_code": "922534401",
            "country_code": "US",
            "telephone_number": "760-423-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11326 Mountain View Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923543817",
            "country_code": "US",
            "telephone_number": "760-423-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "558 S Paseo Dorotea Ste 6",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922641429",
            "country_code": "US",
            "telephone_number": "760-423-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAKKA",
        "first_name": "SRITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A196200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centers for Wellness and Health, a Medical Corporation
• Michelle Jacqueline Cervantes-Morales
• Mi Hyang Cha
• Krishan Shivam Chaddha, DO
• Tushank Chadha
• Arun Kumar Chakrabarty, M.D.
• Ryan Andrew Chan, MD
• Jerry Y. Chang, M.D.
• Kaushalkumar Ganeshbhai Chauhan, MBBS MD MPH
• Suzanne Marie Chaves, MD

• Dermatology Physician in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.