ANGEL JOSE CHAVEZ (NPI# 1548817414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548817414 |
| Entity Type | Individual |
| Full Name | ANGEL JOSE CHAVEZ |
| Practice Address |
1334 Lincoln Blvd Santa Monica CA 90401-1730 |
| Mailing Address |
2644 30th St Ste 100 Santa Monica CA 90405-3051 |
| Practice Telephone | 3103146200 |
| Practice Fax Number | 3104502024 |
| Mailing Telephone | 3103146200 |
| Mailing Fax Number | 3104502024 |
| Enumeration Date | 2019-08-24 |
| Last Update Date | 2019-08-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1334 LINCOLN BLVD |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90401-1730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861518227 | Iris Leary | Counselor | 1334 Lincoln Blvd, Santa Monica, CA 90401-1706 | 2007-03-21 |
| 1982218533 | Tiffany Reiko Shigeoka | Counselor | 1334 Lincoln Blvd, Santa Monica, CA 90401-1706 | 2020-09-01 |
| 1366072043 | Linda Lapetino | Counselor | 1334 Lincoln Blvd, Santa Monica, CA 90401-1730 | 2020-01-22 |
| 1710458369 | Adrian Robert Hopkins | Marriage & Family Therapist | 1334 Lincoln Blvd, Santa Monica, CA 90401-1730 | 2018-12-07 |
| 1861980278 | Crystal Gammage Bell | Counselor | 1334 Lincoln Blvd, Santa Monica, CA 90401-1706 | 2018-05-01 |
| 1639680432 | Brigitte Burekhovich | Marriage & Family Therapist | 1334 Lincoln Blvd, Santa Monica, CA 90401-1730 | 2017-10-19 |
| 1316456767 | Gabrielle Witte | Counselor | 1334 Lincoln Blvd, Santa Monica, CA 90401-1730 | 2017-09-28 |
| 1912442385 | Christopher Bishop | Counselor | 1334 Lincoln Blvd, Santa Monica, CA 90401-1730 | 2016-12-21 |
| 1164898078 | Nimra Gardley | Marriage & Family Therapist | 1334 Lincoln Blvd, Santa Monica, CA 90401-1730 | 2015-08-14 |
| 1780011569 | Clare Matrix | Clinic/Center | 1334 Lincoln Blvd, Santa Monica, CA 90401-1730 | 2013-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013499458 | Franchesca Johnson Gordon | Marriage & Family Therapist | 900 Wilshire Blvd., Ste. 450, Santa Monica, CA 90401 | 2018-09-01 |
| 1629564083 | Michelle Jillian Dolinsky | Social Worker | 1243 7th St Ste C, Santa Monica, CA 90401 | 2018-07-09 |
| 1528507084 | Doctor Tlc, License Clinical Psychologist, Inc. | Community/Behavioral Health | 1242 Third St Promenade, Suite 208, Santa Monica, CA 90401 | 2017-02-16 |
| 1285006023 | Venessa Leeann Roca | Speech-Language Pathologist | 1218 6th Street, Santa Monica, CA 90401 | 2015-10-20 |
| 1720468036 | Stephen J. Kenneally | Marriage & Family Therapist | 610 Santa Monica Bvd, Ste. 201, Santa Monica, CA 90401 | 2015-06-02 |
| 1629458070 | Dominique L Robertson | Marriage & Family Therapist | 530 Wilshire, #310, Santa Monica, CA 90401 | 2015-06-01 |
| 1205252673 | Santa Monica Sports Medicine Inc. | Physical Medicine & Rehabilitation | 900 Wilshire Blvd. #410, Santa Monica, CA 90401 | 2014-03-10 |
| 1154675023 | Sherry Marie Martyn | Psychologist | 1242 3rd Street Promenade Ste 208, Santa Monica, CA 90401 | 2012-10-31 |
| 1700159829 | Gary Warburton | Dentist | 519 Arizona Ave., Santa Monica, CA 90401 | 2012-02-21 |
| 1265713036 | Aleksandr Mailyan | Reflexologist | 201 Wilshire Blvd #101, Santa Monica, CA 90401 | 2011-09-07 |
| Find all providers in zip 90401 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036620 | Rachelle Tratt | Counselor | 2424 3rd St, Santa Monica, CA 90405-3603 | 2020-09-02 |
| 1972138238 | Sud Specialty Group - Ca | Counselor | 520 Broadway Ste 200, Santa Monica, CA 90401-2470 | 2020-03-06 |
| 1063052215 | Julia Leah Kayton | Counselor | 624 22nd St, Santa Monica, CA 90402-3122 | 2020-01-15 |
| 1013473784 | Ariana Gravanis | Counselor | 3101 Ocean Park Blvd Ste 309, Santa Monica, CA 90405-3022 | 2019-02-18 |
| 1790203776 | Ernest Jones Jr. | Counselor | 909 Pico Blvd., Santa Monica, CA 90405 | 2017-08-30 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1891135992 | Ronald Yos | Counselor | 2444 Chelsea Pl Apt A, Santa Monica, CA 90404-2072 | 2013-07-03 |
| 1619238920 | Lucille I Sipert | Counselor | 844 Pico Blvd, Santa Monica, CA 90405-1325 | 2012-06-04 |
| 1861518227 | Iris Leary | Counselor | 1334 Lincoln Blvd, Santa Monica, CA 90401-1706 | 2007-03-21 |
| 1205441219 | Shannon Yvvette Wright | Counselor | 1002 Pico Blvd, Santa Monica, CA 90405-1416 | 2020-09-15 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90401 |
Please comment or provide details below to improve the information on ANGEL JOSE CHAVEZ.
| 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.