Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ROSLYN MIANGLEE CHAISANGUANTHUM M.D.
NPI 1174726954
Specialist in Sylmar, CA

Active since June 07, 2007PECOS EnrolledAccepts Medicare Assignment
14445 OLIVE VIEW DR, ROOM 2B-182, SYLMAR, CA 91342(818) 364-3205 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 23, 2026, Feb 3, 2026, Oct 14, 2021 (3 updates tracked since 2021).

About Dr. Roslyn Mianglee Chaisanguanthum M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROSLYN MIANGLEE CHAISANGUANTHUM M.D. (NPI 1174726954) is an individual specialist in Sylmar, California, licensed in California (A84781) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of California, Geffen School Of Medicine (2002).

NPPES Registry Identity

NPI1174726954
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. ROSLYN MIANGLEE CHAISANGUANTHUMCredential: M.D.
Location Address14445 OLIVE VIEW DR, ROOM 2B-182Sylmar, CA 91342-1437
Mailing Address11356 Missouri AveLos Angeles, CA 90025-5554 · (626) 378-2209
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2002
Enumeration DateJune 7, 2007
Last NPPES UpdateSeptember 23, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ NPI 1174726954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A84781
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedInternal MedicineTaxonomy 207R00000X · License DR.0078422 (CO)
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License MD70065738 (WA)
14445 OLIVE VIEW DR, Sylmar, CA 91342

Secondary Practice Locations 2

Location 1201 16th Ave ESeattle, WA 98112-5226 · Phone (206) 326-3000 · Fax (877) 515-2975
Location 210350 E Dakota AveDenver, CO 80247-1314 · Phone (303) 338-4545

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Roslyn Mianglee Chaisanguanthum M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840379236
PECOS Enrollment IDI20080509000700
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Roslyn Chaisanguanthum reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Maintenance Organization
19105 GOLDEN VALLEY RD
Santa Clarita, CA 91387
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
Multi-Specialty
2715 NACHES AVE SW # GSWA1N02
Renton, WA 98057
  • Reassigned Medicare billing, Washington enrollment
  • 2,678 clinicians in this Medicare group
Health Maintenance Organization
3288 MOANALUA RD
Honolulu, HI 96819
  • Reassigned Medicare billing, Hawaii enrollment
  • 1,187 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Acute Care Hospital
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Nurse Practitioner (Family)
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Student in an Organized Health Care Education/Training Program
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Pathology (Anatomic Pathology & Clinical Pathology)
14445 OLIVE VIEW DR, ROOM 1A116
SYLMAR, CA 91342
Internal Medicine (Infectious Disease)
14445 OLIVE VIEW DR, 2B182
SYLMAR, CA 91342
Physical Therapy Assistant
14445 OLIVE VIEW DR
SYLMAR, CA 91342
General Acute Care Hospital
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Physical Therapist
14445 OLIVE VIEW DR
SYLMAR, CA 91342

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roslyn Chaisanguanthum's NPI number?

The NPI number for Roslyn Chaisanguanthum is 1174726954. It was assigned to this individual provider in the NPPES registry on June 7, 2007.

Where is Roslyn Chaisanguanthum located?

Roslyn Chaisanguanthum practices at 14445 Olive View Dr Room 2b-182, Sylmar, CA 91342. The listed phone number is (818) 364-3205.

What is Roslyn Chaisanguanthum's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Roslyn Chaisanguanthum enrolled in Medicare?

Yes. Roslyn Chaisanguanthum is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Roslyn Chaisanguanthum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roslyn Chaisanguanthum reassigns Medicare benefits to 3 organizations: Southern California Permanente Medical Group (Santa Clarita, CA), Kaiser Foundation Health Plan Of Washington (Renton, WA) and Hawaii Permanente Medical Group Inc (Honolulu, HI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roslyn Chaisanguanthum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Roslyn Chaisanguanthum was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.