Individual provider Active NPI

Swapnaja Chandrachood

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1992934947
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
119561 Issued in CA
Practice address
2670 S White Rd
San Jose, CA 95148-2071
Phone
(408) 729-4290
NPI assigned
Jul 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 119561 CA Primary

Addresses

Primary practice location

2670 S White Rd
San Jose, CA 95148-2071

Mailing address

2670 S White Rd
San Jose, CA 95148-2071
Phone (408) 729-4290

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
I20171012000926 CA Practitioner - Family Practice 5496988610 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
119561CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Remedius Health Family Medicine Current Accepting new patients
Asian Americans for Community Involvement of Santa Clara County, Inc CurrentSince May 4, 2020 Accepting new patients
Asian Americans for Community Involvement of Santa Clara County, Inc Current Accepting new patients
Asian Americans for Community Involvement of Santa Clara County, Inc CurrentSince May 4, 2020 Accepting new patients

Locations

2400 Moorpark Ave
Ste 319
San Jose, CA 95128
Phone 4089752730428

2400 Moorpark Ave
Ste 300
San Jose, CA 95128
Phone (408) 975-2763

Interoperability endpoints

  • Direct secure messaging: schandrachood591341@direct.ochin.org

Organizations & group practices 4

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": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1992934947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 S WHITE RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951482071",
            "telephone_number": "408-729-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 S WHITE RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951482071",
            "telephone_number": "408-729-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRACHOOD",
        "first_name": "SWAPNAJA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "119561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.