1. Home
  2. Directory
  3. California
  4. San Luis Obispo
  5. Pediatrics
  6. NPI Profile

MISS CHANSA CHA M.D.
NPI 1477853265
Pediatrics in San Luis Obispo, CA

Active since October 26, 2010PECOS Enrolled
1010 MURRAY AVE, SAN LUIS OBISPO, CA 93405(805) 546-7729 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Miss Chansa Cha M.d. NPPES

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

MISS CHANSA CHA M.D. (NPI 1477853265) is an individual pediatrics provider in San Luis Obispo, California, licensed in California (A114368) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477853265
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMISS CHANSA CHACredential: M.D.
Location Address1010 MURRAY AVESan Luis Obispo, CA 93405-1806
Mailing Address1010 Murray AveSan Luis Obispo, CA 93405-1806 · (805) 546-7729
Phone(805) 546-7729
Sole ProprietorNo
Enumeration DateOctober 26, 2010
Last NPPES UpdateMay 7, 2024
✔ NPI 1477853265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A114368
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1010 MURRAY AVE, San Luis Obispo, CA 93405
Open in Google Maps ↗

Other Names 1

Other Name (5)Miss Samantha Cha M.d.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Chansa Cha M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Chansa Cha reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group
114 mi
Health Maintenance Organization
2103 E GONZALES RD
Oxnard, CA 93036
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1275756652 (805) 650-4700
Vvipa Medical Group Inc
200 mi
Clinic/Center
12370 HESPERIA RD, SUITE 6
Victorville, CA 92395
  • Reassigned Medicare billing, California enrollment
  • 28 clinicians in this Medicare group
NPI 1295126001 (760) 245-4747

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93405 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
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
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 20

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

DR. CURBY DIRK JENKINS DO
Anesthesiology
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 928-1731
GALEN INPATIENT PHYSICIANS PC
Hospitalist
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 546-7600
DR. THOMAS A WILSON M.D.
Pediatrics (Pediatric Endocrinology)
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 546-7692
KATERYNA RICE RN
Student in an Organized Health Care Education/Training Program
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 546-7736
PAUL J WOLFROM DO
Anesthesiology
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 928-1731
LISA RANDOLPH
Nurse Practitioner (Family)
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 546-7600
DR. MATTHEW JAMES BARRY DO
Anesthesiology
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 928-1731
SEAN ANDREWS
Emergency Medicine
1010 MURRAY AVE
SAN LUIS OBISPO, CA 93405
San Luis Obispo County (805) 546-7600

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 Chansa Cha's NPI number?

The NPI number for Chansa Cha is 1477853265. It was assigned to this individual provider in the NPPES registry on October 26, 2010. The provider is also known as Miss Samantha Cha M.D..

Where is Chansa Cha located?

Chansa Cha practices at 1010 Murray Ave, San Luis Obispo, CA 93405. The listed phone number is (805) 546-7729.

What is Chansa Cha's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Chansa Cha enrolled in Medicare?

Yes. Chansa Cha is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Chansa Cha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chansa Cha reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (Oxnard, CA) and Vvipa Medical Group Inc (Victorville, CA). 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 Chansa Cha'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 Chansa Cha was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.