Individual provider Active NPI

Chitta Thiagarajah, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Lancaster, CA
National Provider Identifier
1982696944
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A33498 Issued in CA
Practice address
44725 10TH St W
Suite 110
Lancaster, CA 93534-3033
Phone
(661) 949-9966
Fax
(661) 949-9926
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X A33498 CA Primary

Addresses

Primary practice location

44725 10TH St W
Suite 110
Lancaster, CA 93534-3033

Mailing address

1672 W Avenue J
Suite 209
Lancaster, CA 93534-2827
Phone (661) 729-6854

Other identifiers 1

IdentifierTypeStateIssuer
A334980MedicaidCA

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
I20081217000079 CA Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 4284652850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Other, 1967
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

44725 10TH St W
Suite 110
Lancaster, CA 93534-3051

Hospital & facility affiliations

  • Ridgecrest Regional Hospital Hospital, Ridgecrest, CA, CCN 051333

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chitta Thiagarajah MD a Professional Medical Corporation Pain Medicine CurrentSince Sep 11, 2008 Accepting new patients
Antelope Valley Health Care District Past Accepting new patients

Locations

44725 10th St W
Ste 170
Lancaster, CA 93534
Phone (661) 726-3724

44725 10th St W
Ste 110
Lancaster, CA 93534
Phone (661) 729-6854

900 N Heritage Dr
Ste B
Ridgecrest, CA 93555
Phone (661) 529-7550

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1982696944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1672 W AVENUE J",
            "address_2": "SUITE 209",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342827",
            "telephone_number": "661-729-6854",
            "fax_number": "661-729-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44725 10TH ST W",
            "address_2": "SUITE 110",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343033",
            "telephone_number": "661-949-9966",
            "fax_number": "661-949-9926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIAGARAJAH",
        "first_name": "CHITTA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A33498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A334980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

Verify at the official NPI Registry.