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DR. MALLORY CHAVANNES
NPI 1356840441
Pediatrics - Pediatric Gastroenterology in Los Angeles, CA

Active since February 05, 2018PECOS Enrolled
4650 W SUNSET BLVD # 78, LOS ANGELES, CA 90027(438) 395-1651 Get Directions Write a Review

NPPES record last updated: February 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mallory Chavannes NPPES

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

DR. MALLORY CHAVANNES (NPI 1356840441) is an individual pediatric gastroenterology provider in Los Angeles, California, licensed in California (A153763) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356840441
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameDR. MALLORY CHAVANNES
Location Address4650 W SUNSET BLVD # 78Los Angeles, CA 90027-6062
Mailing Address4650 W Sunset Blvd # 78Los Angeles, CA 90027-6062
Phone(438) 395-1651
Sole ProprietorYes
Enumeration DateFebruary 5, 2018
✔ NPI 1356840441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in CA · A153763
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
4650 W SUNSET BLVD # 78, Los Angeles, CA 90027
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Other Identifiers 1

MedicaidA153763CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mallory Chavannes is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

PRASHANTHI KANDAVEL M.D.
Pediatrics (Pediatric Gastroenterology)
4650 W SUNSET BLVD # 78
LOS ANGELES, CA 90027
Los Angeles County (323) 361-2181
BETH CARTER MD
Pediatrics (Pediatric Gastroenterology)
4650 W SUNSET BLVD # 78
LOS ANGELES, CA 90027
Los Angeles County (888) 631-2452
MS. ILANA KELLERMAN MOSS PH.D.
Psychologist (Clinical)
4650 W SUNSET BLVD # 78
LOS ANGELES, CA 90027
Los Angeles County (323) 455-8080
SHARON TAM
Pediatrics (Pediatric Gastroenterology)
4650 W SUNSET BLVD # 78
LOS ANGELES, CA 90027
Los Angeles County (323) 361-5924
SHRUTI SUNIL AGGARWAL RD
Dietitian, Registered (Nutrition, Pediatric)
4650 W SUNSET BLVD # 78
LOS ANGELES, CA 90027
Los Angeles County (323) 361-7508
SHREENA PATEL MD
Pediatrics (Pediatric Gastroenterology)
4650 W SUNSET BLVD # 78
LOS ANGELES, CA 90027
Los Angeles County (888) 631-2452

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 Mallory Chavannes's NPI number?

The NPI number for Mallory Chavannes is 1356840441. It was assigned to this individual provider in the NPPES registry on February 5, 2018.

Where is Mallory Chavannes located?

Mallory Chavannes practices at 4650 W Sunset Blvd # 78, Los Angeles, CA 90027. The listed phone number is (438) 395-1651.

What is Mallory Chavannes's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Mallory Chavannes enrolled in Medicare?

Yes. Mallory Chavannes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mallory Chavannes was last updated on February 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.