JESUS CHAVEZ (NPI# 1215454939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215454939 |
| Entity Type | Individual |
| Full Name | JESUS CHAVEZ |
| Credential | MSW |
| Practice Address |
323 N Prairie Ave Inglewood CA 90301-4502 |
| Mailing Address |
4760 Sepulveda Blvd Culver City CA 90230-4820 |
| Practice Telephone | 3108462100 |
| Practice Fax Number | 3108462139 |
| Mailing Telephone | 3103906612 |
| Mailing Fax Number | 3103985690 |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2019-08-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194138594 | Jesus Chavez | Physical Therapy Assistant | 2000 Prairie Key Rd, West Palm Beach, FL 33406-6713 | 2014-06-04 |
| 1396366167 | Jesus Chavez | Technician, Other | 2400 E Katella Ave Ste 800, Anaheim, CA 92806-5955 | 2020-05-02 |
| 1316579782 | Jesus Chavez | Counselor | 2192 Rosita Valley Rd, Eagle Pass, TX 78852-2542 | 2020-02-04 |
| 1205305174 | Jesus Chavez | Technician | 1700 Airport Way S, Seattle, WA 98134-1618 | 2018-11-20 |
| 1528540879 | Jesus Antonio Chavez | Counselor | 1701 Zonal Ave, Los Angeles, CA 90033-1065 | 2018-09-04 |
| 1699271395 | Jesus Chavez | Behavior Technician | 16444 Sw 97th Ter, Miami, FL 33196-5850 | 2018-04-02 |
| 1366899148 | Jesus Chavez | Case Manager/Care Coordinator | 1043 Pine Ave, Long Beach, CA 90813-3118 | 2016-05-20 |
| Street Address |
323 N PRAIRIE AVE |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90301-4502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364711 | Richard Lee Sires | Internal Medicine | 323 N Prairie Ave, Ste 334, Inglewood, CA 90301-4505 | 2005-05-23 |
| 1043853393 | Myung Sun Kim | Case Manager/Care Coordinator | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-10-18 |
| 1568003549 | Yasemin Yahni | Case Manager/Care Coordinator | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-10-01 |
| 1003473943 | Jessica Villafranco | Case Manager/Care Coordinator | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-05-27 |
| 1417514803 | Mariana Silva-nichols | Case Manager/Care Coordinator | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-05-21 |
| 1932763307 | Courtney Patrice Thomas | Counselor | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-04-30 |
| 1346804580 | Christian Eduardo Castro | Case Manager/Care Coordinator | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-04-23 |
| 1780147900 | Veronica Ramirez | Student in an Organized Health Care Education/Training Program | 323 N Prairie Ave, Inglewood, CA 90301 | 2019-04-14 |
| 1871052456 | Stephen Miller | Case Manager/Care Coordinator | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-03-13 |
| 1629534433 | Zenia Centeno | Marriage & Family Therapist | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2019-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548897945 | Genevieve V. Angel | Registered Nurse | 555 East Hardy Street, Director of Cm Sw, Centinela Hospital Medical Center, Inglewood, CA 90301 | 2020-03-25 |
| 1992338552 | Ralph Kevin Roque | Licensed Practical Nurse | 614 W Manchester Blvd, Inglewood, Ca 90301, 104, Inglewood, CA 90301 | 2020-02-21 |
| 1043841562 | Evelyn Jones | Social Worker | 555 E. Hardy Street, Inglewood, Ca, CA 90301 | 2020-02-03 |
| 1447896444 | Coral Dabarera Edelson | Dietitian, Registered | 110 North La Brea Ave, Inglewood, CA 90301 | 2019-11-25 |
| 1821642125 | Jennifer Robert Umoh | Student in an Organized Health Care Education/Training Program | 412 E Florence Avenue, Inglewood, CA 90301 | 2019-07-25 |
| 1821567751 | Esther Voltaire | Behavior Technician | 619 E Arbor Vitae St, Inglewood, CA 90301 | 2018-11-21 |
| 1902372832 | Pool Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 323 North Prairie Ave, Suite 200, Ingelwood, CA 90301 | 2018-10-18 |
| 1174003594 | Xelnt Healthcare Inc. | Clinic/Center | 501 E Hardy St Ste 425, Inglewood, CA 90301 | 2018-08-15 |
| 1710409321 | Rae Shelston Mcintosh | Licensed Vocational Nurse | 1007 Myrth Ave, Inglewood, CA 90301 | 2017-07-14 |
| 1477093789 | Lewis E Logan II | Counselor | 332 N. Prairie Ave., Suite 417, Inglewood, CA 90301 | 2017-03-06 |
| Find all providers in zip 90301 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033577531 | Justin Colwell | Social Worker | 217 W 64th Pl, Inglewood, CA 90302 | 2016-01-29 |
| 1104109172 | Carolyn Soto | Social Worker | 323 N. Prairie Avenue, Inglewood, CA 90301 | 2011-09-26 |
| 1003447772 | Tamaiah Thompson | Social Worker | 555 E Hardy St, Inglewood, CA 90301-4011 | 2020-01-30 |
| 1205467404 | Joanna P Alcocer | Social Worker | 555 E Hardy St, Inglewood, CA 90301-4011 | 2020-01-28 |
| 1780215988 | Aliza Gonzalez | Social Worker | 555 E Hardy St, Inglewood, CA 90301-4011 | 2020-01-28 |
| 1891281689 | Natasha Barbari | Social Worker | 323 N Prairie Ave, Inglewood, CA 90301 | 2018-07-05 |
| 1023501863 | Nora Rafiq Nasir | Social Worker | 323 N Prairie Ave, Inglewood, CA 90301 | 2018-06-06 |
| 1942709860 | Hannah Elizabeth Wolfe | Social Worker | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2018-02-06 |
| 1255858486 | Karinna Torres | Social Worker | 323 N Prairie Ave, Inglewood, CA 90301 | 2017-08-28 |
| 1427573898 | Macy Ragole | Social Worker | 323 N Prairie Ave, Inglewood, CA 90301-4502 | 2017-08-07 |
| Find all providers in INGLEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.