Individual provider Active NPI

Bryce Taylor Chavez, MD

  • Internal Medicine Physician
  • Bakersfield, CA
National Provider Identifier
1033747290
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A199117 Issued in CA
Practice address
3838 San Dimas St Ste B100
Bakersfield, CA 93301-2285
Phone
(661) 326-0088
NPI assigned
Mar 31, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A199117 CA Primary

Addresses

Primary practice location

3838 San Dimas St Ste B100
Bakersfield, CA 93301-2285

Mailing address

3838 San Dimas St Ste B100
Bakersfield, CA 93301-2285
Phone (661) 326-0088

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A199117CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vernon C Sorenson MD Inc. CurrentSince Oct 13, 2024 Accepting new patients
Bakersfield Emergency Medical Corp. PastSince Oct 13, 2024 Accepting new patients

Locations

3838 San Dimas St
Ste B121
Bakersfield, CA 93301

3838 San Dimas St
Ste B100
Bakersfield, CA 93301
Phone (661) 326-0088

Interoperability endpoints

  • Direct secure messaging: bryce.chavez@hca3.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1033747290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 SAN DIMAS ST STE B100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012285",
            "telephone_number": "661-326-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 SAN DIMAS ST STE B100",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012285",
            "telephone_number": "661-326-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "BRYCE",
        "middle_name": "TAYLOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A199117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.