Active NPI
Carolina Chavez
- Day Training/Habilitation Specialist
- Los Angeles, CA
National Provider Identifier
1063142941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Practice address
- 12021 Wilmington Ave
Los Angeles, CA 90059-3019 - Phone
- (310) 668-3484
- NPI assigned
- Jun 14, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | Primary | ||
| Community Health Worker | 172V00000X | |||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
12021 Wilmington Ave
Los Angeles, CA 90059-3019
Mailing address
12021 Wilmington Ave.
Building 18, Suite 4D
Los Angeles, CA 90059-3052
Phone (310) 668-3484
Other practice location 1
851 Bowsprit Rd
Chula Vista, CA 91914-4529
Phone (213) 915-8277
Other practice location 2
1720 E 120th St
Los Angeles, CA 90059-3052
Phone (310) 668-3484
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": "1655164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772409600000",
"number": "1063142941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12021 WILMINGTON AVE.",
"address_2": "BUILDING 18, SUITE 4D",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900593052",
"telephone_number": "310-668-3484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12021 WILMINGTON AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900593019",
"telephone_number": "310-668-3484"
}
],
"practiceLocations": [
{
"address_1": "851 Bowsprit Rd",
"address_purpose": "LOCATION",
"city": "Chula Vista",
"state": "CA",
"postal_code": "919144529",
"country_code": "US",
"telephone_number": "213-915-8277",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1720 E 120th St",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900593052",
"country_code": "US",
"telephone_number": "310-668-3484",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAVEZ",
"first_name": "CAROLINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-14",
"last_updated": "2026-03-02",
"certification_date": "2026-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.