Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083809354 Individual Practitioner Male Practitioner

John B Chebultz , MA

Specialist/Technologist • W Los Angeles, CA

Professional Overview & Biography Verified Profile Summary

John Chebultz, MA is a registered healthcare professional specializing in Specialist/Technologist in W Los Angeles, CA. Practice services are available at 12304 SANTA MONICA BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12304 Santa Monica Blvd
Suite 300

W Los Angeles, CA 900252551

Telephone 3102881650

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist in W Los Angeles, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in W Los Angeles, CA (66 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist Primary Specialty

NUCC Taxonomy Code: 225500000X

State License CA 46038

General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Shannon Byrnes , MA

Marriage & Family Therapist

NPI 1689823825

Master of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 10, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2007

Registered at 12304 SANTA MONICA BLVD, SUITE 300, W LOS ANGELES, CA 900252551 (Tel: 3102881650)

📍
Updated Business Mailing Address September 10, 2007

Registered at 12304 SANTA MONICA BLVD, SUITE 300, W LOS ANGELES, CA 900252551 (Tel: 3102881650)

👤
Provider Name / Credentials Updated September 10, 2007

Recorded as JOHN CHEBULTZ, M.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2007

Specialist/Technologist (License #46038 in CA)

🟢
Initial NPI Registration & Enumeration September 10, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083809354
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 10, 2007
Last Update: September 10, 2007
Sole Proprietor: Yes

Mailing Address

12304 Santa Monica Blvd, Suite 300

W Los Angeles, CA 900252551

Phone: 3102881650

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.