DR. CLARA CHAE M.D NPI 1861697427

NPI Information

NPI: 1861697427
Provider Name: DR. CLARA CHAE, M.D
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Individual

Specialization: Obstetrics

PECOS Registration: Yes

Address:
4646 BROCKTON AVE STE 201
RIVERSIDE, CA
ZIP 92506
Phone: (951) 585-1800
Get Directions

DR. Clara Chae, M.D is an obstetrics obstetrics gynecology in Riverside, CA with 18 years of experience. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee DR. Clara Chae, M.D NPI is 1861697427. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduation Year:2006

The provider's business location address is:

4646 BROCKTON AVE STE 201
RIVERSIDE, CA
ZIP 92506-104
Phone: (951) 585-1800
Fax: (951) 585-1801

The NPI 1861697427 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/15/2007 and was last updated on 2/10/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		35095607	OHIO	No
2	207VX0000X	Obstetrics & Gynecology	Obstetrics	128817	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZZ31887Z	OTHER	CALIFORNIA	GROUP PTAN
2	3103368	MEDICAID	OHIO
3	1639274319	OTHER	CALIFORNIA	SITE PTAN
4	4304441	OTHER	OHIO	MEDICARE ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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