JOHN R CHALISON MD A MEDICAL CORPORATION (NPI# 1063459477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063459477 |
| Entity Type | Organization |
| Organization Name | JOHN R CHALISON MD A MEDICAL CORPORATION |
| Practice Address |
616 Witmer St Los Angeles CA 90017-2308 |
| Mailing Address |
Po Box 7096 Stockton CA 95267-0096 |
| Practice Telephone | 2139772121 |
| Mailing Telephone | 2099567725 |
| Mailing Fax Number | 2099567733 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2018-05-11 |
| Authorized Official Name | JOHN R CHALISON (OWNER) |
| Authorized Official Telephone | 2139772121 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0058510 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2131 W 3rd St, Los Angeles, CA 900571901 | 2134847111 |
| Street Address |
616 WITMER ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90017-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972856185 | Qian Gao | Dietitian, Registered | 616 Witmer St, Los Angeles, CA 90017-2308 | 2012-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833617 | Guadalupe Vallejo | Licensed Vocational Nurse | 515 Columbia Avenue, #200, 515 Columbia Avenue, Los Angeles, CA 90017 | 2020-08-25 |
| 1376181768 | Nirlok Corporation | Optometrist | 750 West 7th Street, Los Angeles, CA 90017 | 2019-12-16 |
| 1689228223 | Marycarmen Beltran | Student in an Organized Health Care Education/Training Program | 333 S. Beaudry Ave., Los Angeles, CA 90017 | 2019-08-01 |
| 1639661465 | Robin B Horowitz | Counselor | 333 South Beaudry Avenue, Los Angeles, CA 90017 | 2018-06-06 |
| 1710483797 | Rose Jadidian | Pharmacist | 701 S. Flower, Ste. 3150, Los Angeles, CA 90017 | 2018-03-30 |
| 1417469875 | Marykarla Gallegos | Case Manager/Care Coordinator | 1125 W. 6th St., Suite 103, Los Angeles, CA 90017 | 2017-10-25 |
| 1134646516 | Maria Salas | Rehabilitation Practitioner | 333 S Beaudry Ave., Los Angeles, CA 90017 | 2017-08-25 |
| 1932638202 | Butterfli Technologies Inc | Transportation Broker | 865 S Figueroa St Ste 2750, Los Angeles, CA 90017 | 2017-06-08 |
| 1316493125 | Phamily Love Foundation | Community/Behavioral Health | 626 Wilshire Blvd ., Suite 910, Los Angeles, CA 90017 | 2016-08-31 |
| 1215392188 | Jessica R. Garcia-hillard | Specialist/Technologist | 1111 W. 6th St., Suite 111, Los Angeles, CA 90017 | 2015-12-21 |
| Find all providers in zip 90017 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497297659 | Jon Bennett Glazier | Internal Medicine | 3343 Mandeville Canyon Rd, Los Angeles, CA 90049-1017 | 2016-11-04 |
| 1144586637 | Jason Hong | Internal Medicine | 200 Ucla Medical Plz Ste 365-b, Los Angeles, CA 90095-8344 | 2012-04-09 |
| 1255651378 | Louis S Park M D Inc | Internal Medicine | 1300 N Vermont Ave # 600, Los Angeles, CA 90027-6098 | 2010-06-11 |
| 1366688236 | Archie Fredric Wilson | Internal Medicine | 11244 Homedale St, Los Angeles, CA 90049-3019 | 2008-12-26 |
| 1669627691 | William Fred Bierer | Internal Medicine | 9009 Beverly Blvd, Los Angeles, CA 90048 | 2008-11-18 |
| 1114191186 | Patricia Hedieh Eshaghian | Internal Medicine | Ucla Division of Pulmonary and Critical Care, Chs 37-131, Los Angeles, CA 90095-0001 | 2008-04-21 |
| 1588856538 | Caroline A. Kim | Internal Medicine | 6041 Cadillac Avenue, Suite 248, Kaiser Permanente, Los Angeles, CA 90034 | 2007-08-14 |
| 1790815082 | Los Angeles Lung Center - A Professional Medical Corporation | Internal Medicine | 1245 Wilshire Blvd Ste 305, Los Angeles, CA 90017-4803 | 2007-03-06 |
| 1912086331 | Yungae Kristy Kim | Internal Medicine | 3435 Wilshire Blvd Ste 500, Los Angeles, CA 90010-1906 | 2006-11-05 |
| 1780765933 | Ramadas Abboy | Internal Medicine | 1700 E Cesar E Chavez Ave Ste 3100, Los Angeles, CA 90033-2469 | 2006-10-17 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90017 |
Please comment or provide details below to improve the information on JOHN R CHALISON MD A MEDICAL CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.