Individual provider Active NPI

Edward Thomas Chappell, MD

  • Neurological Surgery Physician
  • La Mirada, CA
National Provider Identifier
1972683068
Registry record updated Jul 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
G78763 Issued in CA
Practice address
16702 Valley View Ave
La Mirada, CA 90638-5824
Phone
(562) 921-0341
Fax
(562) 404-0266
NPI assigned
Oct 16, 2006
Last updated
Jul 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X M7906 TX
Neurological Surgery Physician 207T00000X G78763 CA Primary

Addresses

Primary practice location

16702 Valley View Ave
La Mirada, CA 90638-5824

Mailing address

16702 Valley View Ave
La Mirada, CA 90638-5824
Phone (714) 367-5360

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
I20080509000253 CA Practitioner - Neurosurgery 9032298468 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Wake Forest University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthpointe Medical Group, Inc.Group PAC ID 0941299135, shared by 2 NPIs, 35 clinicians

Practice addresses (Care Compare)

1717 E Lincoln Ave
Anaheim, CA 92805-4345
Phone (714) 635-2642

27455 Tierra Alta Way
Suite a
Temecula, CA 92590-3498
Phone (951) 699-5282

290 N 10TH St
Suite 100
Colton, CA 92324-3052
Phone (909) 264-2500

5584 N Paramount Blvd
Suite 100
Long Beach, CA 90805-5149
Phone (562) 920-8394

6820 La Tijera Blvd
Suite 217
Los Angeles, CA 90045-1931
Phone (310) 218-4300

754 N Mountain Ave
Ontario, CA 91762-2544
Phone (909) 460-4155

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G78763CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpointe Medical Group, Inc. CurrentSince Mar 31, 2015 Accepting new patients
Healthpointe Medical Group, Inc. Current Accepting new patients
Healthpointe Medical Group, Inc. CurrentSince Feb 1, 2015 Accepting new patients
Healthpointe Medical Group, Inc. Current Accepting new patients
Encompass Health Rehabilitation Hospital of Tustin, LLC Past Accepting new patients
Chapman Medical Center Inc Past Accepting new patients
Scott & White Hospital - Round Rock Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Israel P Chambi M D & Medical Associates Inc Neurological Surgery PastSince Feb 21, 2010 Accepting new patients
Alameda Health System Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Coast Plaza Doctors Hospital Past Accepting new patients
University of California Irvine Past Accepting new patients
Healthpointe Medical Group, Inc. Past Accepting new patients

Locations

1717 E Lincoln Ave
Anaheim, CA 92805
Phone (714) 635-2642

290 N 10th St
Ste 100
Colton, CA 92324
Phone (909) 264-2500

5345 Irwindale Ave
Irwindale, CA 91706
Phone (626) 960-5361

16702 Valley View Ave
La Mirada, CA 90638
Phone (562) 921-0341

5584 N Paramount Blvd
Ste 100
Long Beach, CA 90805
Phone (562) 920-8394

6820 La Tijera Blvd
Ste 217
Los Angeles, CA 90045
Phone (310) 218-4300

754 N Mountain Ave
Ontario, CA 91762
Phone (909) 460-4155

2226 Medical Center Dr
Ste 102
Perris, CA 92571
Phone (951) 657-1400

27455 Tierra Alta Way
Ste A
Temecula, CA 92590
Phone (951) 699-5282

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499040000000",
    "number": "1972683068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16702 VALLEY VIEW AVE",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906385824",
            "telephone_number": "714-367-5360",
            "fax_number": "714-635-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16702 VALLEY VIEW AVE",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906385824",
            "telephone_number": "562-921-0341",
            "fax_number": "562-404-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPPELL",
        "first_name": "EDWARD",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2017-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "M7906",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G78763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mirada, CA

Sources for this page

Verify at the official NPI Registry.