MR. DAVID O CHAVEZ (NPI# 1629322722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629322722 |
| Entity Type | Individual |
| Full Name | MR. DAVID O CHAVEZ |
| Practice Address |
820 Long Beach Blvd Long Beach CA 90813 |
| Mailing Address |
820 Long Beach Blvd Long Beach CA 90813-4418 |
| Practice Telephone | 5622123055 |
| Mailing Telephone | 5622123055 |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2018-08-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL | 95-2633765 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2450 S Atlantic Blvd, Suite #101, Commerce, CA 900401200 | 3233189960 | 3237803211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043766454 | David Chavez | Counselor | 503 N Main St Ste 543, Pueblo, CO 81003-3141 | 2016-08-27 |
| 1811330772 | David Chavez | Dental Assistant | 358 East 76st, Los Angeles, CA 90003 | 2013-04-10 |
| 1194091876 | David M Chavez | Physician Assistant | 31 In Bn 04 In Bn Ibct, Fort Drum, NY 13602 | 2012-03-28 |
| 1700095361 | David Vincent Chavez | Psychologist | 164 W Hospitality Ln Ste 1a, San Bernardino, CA 92408-3328 | 2007-05-21 |
| 1265065817 | David Chavez | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2020-02-21 |
| 1437715646 | David Thomas Chavez | Nurse Practitioner | 337 11th St Sw, Spencer, IA 51301-5849 | 2019-05-13 |
| 1235642117 | David Joe Chavez | Registered Nurse | 2600 Yale Blvd Se, Albuquerque, NM 87106-4383 | 2017-11-14 |
| 1881117331 | David Karl Chavez | Peer Specialist | 1450 Birch Ave, Cottage Grove, OR 97424-1417 | 2017-07-17 |
| 1669717799 | David D Chavez | Case Manager/Care Coordinator | 2960 Rodeo Park Dr W, Santa Fe, NM 87505-6351 | 2012-11-29 |
| 1326204116 | David Chavez Jr. | Counselor | 701 Arkansas Blvd, Texarkana, AR 71854 | 2008-08-01 |
| Street Address |
820 LONG BEACH BLVD |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088516 | Jonathan Gray | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813-4418 | 2020-06-24 |
| 1497371678 | Jonathan Mendez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813-4418 | 2020-06-23 |
| 1134745359 | Braulio Roman | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813-4418 | 2020-06-23 |
| 1407478308 | Alma Cindy Orozco | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813-4418 | 2020-05-13 |
| 1366922486 | Elida Sanchez | Case Manager/Care Coordinator | 820 Long Beach Blvd, Long Beach, CA 90813-4418 | 2018-08-17 |
| 1821577198 | Sokthea Phay | Community Health Worker | 820 Long Beach Blvd, Long Beach, CA 90813-4418 | 2018-08-08 |
| 1487132700 | Brenda Soriano-villa | Community Health Worker | 820 Long Beach Blvd, Long Beach, CA 90813-4418 | 2018-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018491 | Marisol Zobler | Social Worker | 820 Long Beach Bvld, Long Beach, CA 90813 | 2020-06-19 |
| 1437787009 | Cho Rok Kim | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave., Long Beach, CA 90813 | 2020-03-30 |
| 1316407596 | Vicky Sandhu | Student in an Organized Health Care Education/Training Program | Graduate Medical Education, 1050 Linden Ave, Long Beach, CA 90813 | 2019-03-22 |
| 1245734912 | Madiha Naseem | Internal Medicine | Graduate Medical Education, 1050 Linden Avenue, Long Beach, CA 90813 | 2018-03-19 |
| 1689194508 | Naomi Ruiz | Specialist/Technologist | 838 Pine Ave Apt. 314, Long Beach, CA 90813 | 2017-06-21 |
| 1851831531 | Tyler Lappen | Student in an Organized Health Care Education/Training Program | 830 Atlantic Ave., Long Beach, CA 90813 | 2017-03-01 |
| 1639628886 | Assavuth Kim | Community Health Worker | 1471 Cherry Avenue, Long Beach, CA 90813 | 2016-09-29 |
| 1881031300 | Stacy Nicole Delgado-willis | Marriage & Family Therapist | 851 Pine Ave Ste 103, Long Beach, CA 90813 | 2013-05-23 |
| 1740623453 | Paula Ann Di Thomas | Nurse Practitioner | 1043 Elm Ave #104, Long Beach, CA 90813 | 2013-04-11 |
| 1356694483 | Ephesian Wellness Center, Inc | Skilled Nursing Facility | 723 E 9th St., Long Beach, CA 90813 | 2012-10-26 |
| Find all providers in zip 90813 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831701937 | Katherine Rose Little | Case Manager/Care Coordinator | 4510 E Pacific Coast Hwy Ste 430, Long Beach, CA 90804-6937 | 2020-08-19 |
| 1093359762 | Somnon Kann | Case Manager/Care Coordinator | 1355 Redondo Ave Ste 9, Long Beach, CA 90804-2845 | 2019-11-05 |
| 1730720954 | Eileen Austria Om | Case Manager/Care Coordinator | 311 E Cummings Ln, Long Beach, CA 90805-1315 | 2019-09-30 |
| 1760949895 | Annabelle Bassalla Simba | Case Manager/Care Coordinator | 3530 Atlantic Ave Ste 200, Long Beach, CA 90807-4569 | 2019-02-25 |
| 1568940518 | Julia Ornelas | Case Manager/Care Coordinator | 40 Alamitos Ave Apt 203, Long Beach, CA 90802-5483 | 2018-08-01 |
| 1508359605 | Mykayla Rowley | Case Manager/Care Coordinator | 5190 Atlatic Ave, Long Beach, CA 90805 | 2018-06-13 |
| 1033645114 | Cutberto Morales Jr. | Case Manager/Care Coordinator | 200 Pine Ave, Suite 400, Long Beach, CA 90802-3041 | 2017-05-10 |
| 1730614496 | William Woodbury | Case Manager/Care Coordinator | 6321 Coronado Ave, Long Beach, CA 90805-3809 | 2017-05-01 |
| 1932646130 | Melissa Merman | Case Manager/Care Coordinator | 10 Monroe Blvd Apt 3h, Long Beach, NY 11561-4342 | 2017-01-25 |
| 1396295648 | Samuel Lee | Case Manager/Care Coordinator | 1025 Palo Verde Ave, Apt 13, Long Beach, CA 90815-4645 | 2016-10-11 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90813 |
Please comment or provide details below to improve the information on MR. DAVID O 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.