Active NPI
Victor Manuel Chavez Sr., D.C., L.AC.,M.A.O.M.
- Chiropractor
- Fresno, CA
National Provider Identifier
1003044579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-30888
- Practice address
- 5670 N Fresno St Ste 106
Fresno, CA 93710-8330 - Phone
- (559) 650-0480
- NPI assigned
- Jun 23, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-30888 | CA | Primary |
| Acupuncturist | 171100000X | 13362 | CA |
Addresses
Primary practice location
5670 N Fresno St Ste 106
Fresno, CA 93710-8330
Mailing address
459 9TH St
Orange Cove, CA 93646-2243
Phone (559) 375-4812
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-30888 | CA | MD | Chiropractor |
| 13362 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Healthcare System, Inc | Past | Accepting new patients | |
| Brotman Medical Center, Inc. | Past | Accepting new patients | |
| United Health Centers of the San Joaquin Valley | Past | Accepting new patients |
Interoperability endpoints
- victor.chavez.1@17661.direct.athenahealth.com
- https://api.platform.athenahealth.com/17661/brand/1/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Skilled Nursing Facility
- Culver City, CA
- NPI 1518997733
-
- Psychiatric Hospital Unit
- Culver City, CA
- NPI 1487905725
-
- Federally Qualified Health Center (FQHC)
- Huron, CA
- NPI 1134101686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271635200000",
"number": "1003044579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "459 9TH ST",
"city": "ORANGE COVE",
"state": "CA",
"postal_code": "936462243",
"telephone_number": "559-375-4812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5670 N FRESNO ST STE 106",
"city": "FRESNO",
"state": "CA",
"postal_code": "937108330",
"telephone_number": "559-650-0480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "VICTOR",
"middle_name": "MANUEL",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "D.C., L.AC.,M.A.O.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-23",
"last_updated": "2010-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC-30888",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "13362",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.