Active NPI
Ricky Chavez
- Occupational Therapist
- Norwalk, CA
National Provider Identifier
1003420316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 21557
- Practice address
- 13603 Halcourt Avenue
Norwalk, CA 90650 - Phone
- (562) 215-2390
- NPI assigned
- Sep 3, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | 21557 | CA | |
| Occupational Therapist | 225X00000X | 21557 | CA | Primary |
Addresses
Primary practice location
13603 Halcourt Avenue
Norwalk, CA 90650
Mailing address
13603 Halcourt Avenue
Norwalk, CA 90650
Phone (562) 215-2390
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1003420316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13603 HALCOURT AVENUE",
"city": "NORWALK",
"state": "CA",
"postal_code": "90650",
"telephone_number": "562-215-2390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13603 HALCOURT AVENUE",
"city": "NORWALK",
"state": "CA",
"postal_code": "90650",
"telephone_number": "562-215-2390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "RICKY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-03",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "CA",
"license": "21557",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "21557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.