MARLENE CHAVEZ (NPI# 1518502517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518502517 |
| Entity Type | Individual |
| Full Name | MARLENE CHAVEZ |
| Credential | PA-C |
| Practice Address |
832 S Grevillea Ave Inglewood CA 90301-3312 |
| Mailing Address |
Po Box 920812 Sylmar CA 91392-0812 |
| Practice Telephone | 3104194354 |
| Mailing Telephone | 3104194354 |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2019-11-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 57321 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306220835 | Marlene Chavez | Occupational Therapy Assistant | 1201 34th St, San Diego, CA 92102-2416 | 2015-07-14 |
| 1588951537 | Marlene Chavez | Case Manager/Care Coordinator | 232 E Gish Rd, San Jose, CA 95112-4706 | 2011-06-28 |
| Street Address |
832 S GREVILLEA AVE |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90301-3312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447326459 | Lynn T. Kamoto | Physician Assistant | 832 S Grevillea Ave, Inglewood, CA 90301-3312 | 2006-11-28 |
| 1952944233 | Maria Elena Castro | Physician Assistant | 832 S Grevillea Ave, Inglewood, CA 90301-3312 | 2019-10-19 |
| 1275197501 | Natasha Kimberly Bove | Physician Assistant | 832 S Grevillea Ave, Inglewood, CA 90301-3312 | 2019-04-22 |
| 1770928855 | Jenny Maritza Chen Chen | Physician Assistant | 832 S Grevillea Ave, Inglewood, CA 90301-3312 | 2013-05-02 |
| 1265773907 | Carlos Rosas | Physician Assistant | 832 S Grevillea Ave, Inglewood, CA 90301-3312 | 2013-03-05 |
| 1104088996 | Jincy Jacob | Family Medicine | 832 S Grevillea Ave, Inglewood, CA 90301-3312 | 2008-07-02 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831653609 | Daniel Pipkin | Physician Assistant | 8923 S 2nd Ave, Inglewood, CA 90305-2823 | 2019-01-25 |
| 1679893531 | Javier Christopher Burboa | Physician Assistant | 418 E Arbor Vitae St, Inglewood, CA 90301-3450 | 2010-06-02 |
| 1184941098 | Gianna Angela Chrishuana Warren | Physician Assistant | 905 S Prairie Ave Ste A, Inglewood, CA 90301-4140 | 2010-05-02 |
| 1811211089 | Clement Ogbuehi | Physician Assistant | 933b Centinela Ave, Inglewood, CA 90302-1501 | 2010-03-17 |
| 1053561688 | Jose R Mendoza | Physician Assistant | 313 1/2 E Buckthorn St, Inglewood, CA 90301-3417 | 2008-09-18 |
| 1881783934 | Ekhator L Osagiede | Physician Assistant | 508 Venice Way, Inglewood, CA 90302-2810 | 2006-10-12 |
| 1396760252 | Jessie Jeffery | Physician Assistant | 103 S Locust St, Inglewood, CA 90301-1812 | 2006-07-13 |
| 1326086737 | Negar Shariatmadari | Physician Assistant | 644 E Regent St Ste 200, Inglewood, CA 90301-1444 | 2006-06-04 |
| 1760972400 | Ryan Blanco | Physician Assistant | 555 E Hardy St, Inglewood, CA 90301-4011 | 2018-05-17 |
| 1508376872 | Joo Hyun Park | Physician Assistant | 555 E Hardy St, Inglewood, CA 90301-4011 | 2017-10-02 |
| 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.