DR. JOSE CHAVEZ (NPI# 1992311757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992311757 |
| Entity Type | Individual |
| Full Name | DR. JOSE CHAVEZ |
| Credential | DNP RN ACCNS-AG CCRN |
| Practice Address |
4940 Laurel Canyon Blvd Apt 101 Valley Village CA 91607-6007 |
| Practice Telephone | 6199445364 |
| Mailing Telephone | 6199445364 |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 4549 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 4549 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558754515 | Jose Raul Chavez | Specialist/Technologist, Other | 300 Forest Center Dr #24107, Kingwood, TX 77339-5269 | 2015-03-13 |
| 1467730135 | Jose M. Chavez | Pain Medicine | 1704 W Anklam Rd Ste 108, Tucson, AZ 85745-2656 | 2011-07-29 |
| 1316271034 | Jose Chavez | Internal Medicine | 9180 Pinecroft, Suite 400, The Woodlands, TX 77380 | 2009-09-28 |
| 1427202670 | Jose Luis Chavez | General Practice | 3380 Erie Ave, Suite 100, Cincinnati, OH 45208-1626 | 2008-11-13 |
| 1790846640 | Jose Fernando Chavez | Internal Medicine | 1220 12th St. Se Suite 120, Washington, DC 20003 | 2006-12-13 |
| 1194779900 | Jose D. Chavez | Family Medicine | 17 Surrey Ct, Columbia, SC 29212-3139 | 2006-05-19 |
| 1205485125 | Jose Chavez | Student in an Organized Health Care Education/Training Program | 1150 S Olive St Ste 1400, Los Angeles, CA 90015-2871 | 2019-09-04 |
| 1205308848 | Jose Chavez | Behavior Technician | 9900 Montana Ave Ste C6, El Paso, TX 79925-1534 | 2018-12-20 |
| 1578048682 | Jose Angel Chavez Jr. | Student in an Organized Health Care Education/Training Program | 1270 Natividad Rd, Salinas, CA 93906 | 2018-09-25 |
| 1184106981 | Jose Chavez | Counselor | 224 N 7th Ave, Pasco, WA 99301-5411 | 2018-08-29 |
| Street Address |
4940 LAUREL CANYON BLVD APT 101 |
| City | VALLEY VILLAGE |
| State | CA |
| Zip Code | 91607-6007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891603 | Jenni Asher | Massage Therapist | 5425 1/2 Vantage Avenue, Valley Village, CA 91607 | 2020-11-06 |
| 1952926552 | Lisa Porter, Family Counselor, Inc | Marriage & Family Therapist | 4721 Laurel Canyon Blvd. Ste #200, Studio City, CA 91607 | 2020-06-10 |
| 1508488362 | Agm Rx Inc | Pharmacy | 12043 Riverdside Dr, Valley Village, CA 91607 | 2020-05-14 |
| 1275179327 | Go To Pharmacy Inc | Pharmacy | 5961 Laurel Canyon Ave #2, North Hollywood, CA 91607 | 2019-11-25 |
| 1689224545 | Canyon Rx Inc | Pharmacy | 12117 Magnolia Blvd, Valley Village, CA 91607 | 2019-09-12 |
| 1306311006 | Jeanine Ann Roose | Psychologist | 4941 Wilkinson Ave. Ste. A, Valley Village, CA 91607 | 2018-10-09 |
| 1790250942 | Janine Castagnetti | Speech-Language Pathologist | 5825 Radford Ave, Valley Village, CA 91607 | 2018-10-03 |
| 1871007724 | Valley Village Home Care Inc | Home Health | 5940 1/2 Laurel Canyon Blvd, Valley Village, CA 91607 | 2017-11-29 |
| 1740705185 | Archwood Care 2 | Intermediate Care Facility, Mentally Retarded | 12523 Califa St, Valley Village, CA 91607 | 2017-08-07 |
| 1932653664 | American Institute of Addiction Medicine | Substance Abuse Rehabilitation Facility | 12400 W Magnolia Blvd, Valley Village, CA 91607 | 2016-08-10 |
| Find all providers in zip 91607 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336956 | Ryan Russo | Clinical Nurse Specialist | 2376 Soto St, San Diego, CA 92107-1410 | 2020-11-07 |
| 1386243228 | Jennifer Mccoy | Clinical Nurse Specialist | 28720 Canwood St Ste 108, Agoura Hills, CA 91301-9745 | 2020-10-21 |
| 1134697238 | Tomoko Takano | Clinical Nurse Specialist | 1520 Los Montes Dr, Burlingame, CA 94010-5964 | 2018-11-06 |
| 1811465388 | Mary Molle | Clinical Nurse Specialist | 7509 Whitegate Ave, Riverside, CA 92506-5455 | 2018-11-02 |
| 1205320322 | Richelle Marvett Littlejohn | Clinical Nurse Specialist | 1364 W 139th St Unit A, Gardena, CA 90247-2235 | 2018-06-21 |
| 1871015834 | Cecilia Patricia Gray | Clinical Nurse Specialist | 1200 N State St # Gh-4220, Los Angeles, CA 90033-1029 | 2017-07-12 |
| 1144752650 | Joann Munski | Clinical Nurse Specialist | 565 Cooper Dr, Benicia, CA 94510-1301 | 2017-04-03 |
| 1659721249 | Darwin Sacdalan | Clinical Nurse Specialist | 7137 Lyndale Cir, Elk Grove, CA 95758-6357 | 2016-06-15 |
| 1548679442 | Renee Center | Clinical Nurse Specialist | 216 Phelan Ave, Vallejo, CA 94590-6463 | 2014-08-05 |
| 1194154419 | Mariana L Norby | Clinical Nurse Specialist | 9323 N Saybrook Dr, 227, Fresno, CA 93720-0829 | 2013-11-07 |
| Find all providers with the same taxonomy | ||||
| City | VALLEY VILLAGE |
| Zip Code | 91607 |
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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.