ALEXIS GUADALUPE CHAVEZ (NPI# 1902159916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902159916 |
| Entity Type | Individual |
| Full Name | ALEXIS GUADALUPE CHAVEZ |
| Practice Address |
601 Mccain Blvd Bldg 601 Naval Air Station North Island Coronado CA 92135 |
| Practice Telephone | 6195459311 |
| Mailing Telephone | 6195459311 |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2014-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329512 | Alexis Chavez | Community Health Worker | 45111 Fern Ave, Lancaster, CA 93534-2301 | 2020-03-03 |
| 1043854953 | Alexis Chavez | Behavior Technician | 920 W Broadway St, Hobbs, NM 88240-5529 | 2019-11-04 |
| 1689068975 | Alexis Chavez | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, Bldg. 500, Room E2322, Aurora, CO 80045-2570 | 2015-03-24 |
| Street Address |
601 MCCAIN BLVD BLDG 601 NAVAL AIR STATION NORTH ISLAND |
| City | CORONADO |
| State | CA |
| Zip Code | 92135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053872275 | Erika Hernandez | Dental Hygienist | 600 Mc Cain Blvd, San Diego, CA 92135 | 2019-03-29 |
| 1144723289 | Andrew T Bagby | General Practice | 601 Mc Cain Blvd, San Diego, CA 92135 | 2018-03-15 |
| 1780124792 | Larry Alenbaugh Optometry | Optometrist | Nas North Island Building 2017, San Diego, CA 92135 | 2017-02-24 |
| 1215389507 | Dana Gampel | Optometrist | Nas North Island Nex Building 2017, San Diego, CA 92135 | 2016-07-11 |
| 1801288634 | Branch Medical Clinic Nalf San Clemente Island | Clinic/Center | Wilson Cove, Bldg 60126, San Clemente, CA 92135 | 2015-03-03 |
| 1902213598 | Armin Villanueva | Dental Hygienist | Mcain Blvd Building 600, San Diego, CA 92135 | 2014-07-16 |
| 1114366226 | Jennifer J Miller | Dental Hygienist | Bldg 600 Mccain Blvd, Branch Dental Clinic North Island, San Diego, CA 92135 | 2013-06-21 |
| 1295040426 | Linda Anona Farmer | Military Health Care Provider | Bldg 601 Mccain Blvd Bmc Naval Base Coronado, San Diego, CA 92135 | 2010-08-12 |
| 1508006149 | Kathy Rebecca Sullivan | Military Health Care Provider | Msron Five Medical Department, Nolf Ib Building 169, San Diego, CA 92135 | 2009-02-23 |
| 1659449221 | Edmond Chan Reyes | Military Health Care Provider | Naval Air Station North Island, Bldg 290, Sandiego, CA 92135 | 2006-12-01 |
| Find all providers in zip 92135 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003361742 | Caleb James Haynie Sr. | Military Health Care Provider | 3423 Guadalcanal Rd Bldg 401 2nd Deck, Seal Team Seventeen, Coronado, CA 92155-5599 | 2016-08-23 |
| 1326418708 | Francisco Silva | Military Health Care Provider | 1522 1st St, Apt X-105, Coronado, CA 92118-1546 | 2015-09-29 |
| 1073924734 | Leonard Sydnor | Military Health Care Provider | 1504 Da Nang Dr, Unit C, Coronado, CA 92118-3147 | 2014-05-15 |
| 1497199848 | Lisa J Lakin | Military Health Care Provider | 1415 Leyte Rd Apt C, Coronado, CA 92118-3180 | 2013-04-27 |
| 1891077038 | John Cope | Military Health Care Provider | 401 E Ave, Coronado, CA 92118-1715 | 2011-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547227 | Landri Acosta | Military Health Care Provider | 5075 Tranquil Way # 102, Oceanside, CA 92057-7870 | 2020-10-29 |
| 1649879537 | David Michael Soliani | Military Health Care Provider | Bld 4101 Stuart Mesa Road, Camp Pendleton, CA 92055-5584 | 2020-10-21 |
| 1801494182 | Luis Alberto Necoechea | Military Health Care Provider | 1st Recon Bn Bas, Oceanside, CA 92055 | 2020-10-09 |
| 1770180648 | Darius Lee Sean Woods | Military Health Care Provider | 6033 Sandy Shore Ct, San Diego, CA 92139-1014 | 2020-10-05 |
| 1174130744 | Daniel Carrera | Military Health Care Provider | 2645 W Canyon Ave Apt 450, San Diego, CA 92123-4700 | 2020-09-28 |
| 1316551740 | Kyle Bode Francis | Military Health Care Provider | 3149 Murray Ridge Rd, San Diego, CA 92123-2917 | 2020-09-02 |
| 1356955918 | Daniel Carr | Military Health Care Provider | 5423 Lake Murray Blvd Apt 7, La Mesa, CA 91942-1551 | 2020-09-01 |
| 1255945069 | Jeremy Lee | Military Health Care Provider | 509 Dennery Rd Apt 145, San Diego, CA 92154-8542 | 2020-08-31 |
| 1639782899 | Tyler Collin Sparks | Military Health Care Provider | 1 Mrb, Camp Pendletion, CA 92055 | 2020-08-27 |
| 1013520667 | Rashaad Brown | Military Health Care Provider | 4454 Cherokee Ave Apt 2, San Diego, CA 92116-3611 | 2020-08-24 |
| Find all providers with the same taxonomy | ||||
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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.