Active NPI
Toni Denise Johnson-Chavis, M.D.
- Pediatrics Physician
- Compton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A32796
- Practice address
- 403 S Long Beach Blvd
Suite B
Compton, CA 90221-3449 - Phone
- (323) 774-6551
- Fax
- (310) 763-2315
- NPI assigned
- Aug 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A32796 | CA | Primary |
Addresses
Primary practice location
403 S Long Beach Blvd
Suite B
Compton, CA 90221-3449
Mailing address
403 S Long Beach Blvd
Suite B
Compton, CA 90221-3449
Phone (323) 774-6551
Other practice location 1
11868 Rosecrans Ave
Norwalk, CA 90650-4103
Phone (562) 864-3113
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95-4142115 | Other | CA | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230727002742 | CA | Practitioner - Pediatric Medicine | 8123160397 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A32796 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| De Novo Health Care Inc | Current | Accepting new patients | |
| Toni D Johnson Chavis MD Inc | Current | Accepting new patients | |
| Long Beach Memorial Medical | Past | Accepting new patients | |
| St Francis Medical Center | Past | Accepting new patients |
Locations
403 S Long Beach Blvd
Ste B
Compton, CA 90221
Phone (323) 774-6551
11868 Rosecrans Ave
Norwalk, CA 90650
Phone (562) 864-3113
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| De Novo Health Care Inc | Federally qualified health center | Corporate Officer Corporate Director |
Jul 27, 2011 Jul 6, 2007 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community/Behavioral Health Agency
- East Rancho Dominguez, CA
- NPI 1972752368
Corporate Director, Corporate Officer
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- East Rancho Dominguez, CA
- NPI 1972752368
-
- Primary Care Clinic/Center
- Compton, CA
- NPI 1356155501
-
- Rehabilitation Hospital Unit
- Long Beach, CA
- NPI 1396791414
-
- Long Term Care Hospital
- Lynwood, CA
- NPI 1346378270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1083728190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 S LONG BEACH BLVD",
"address_2": "SUITE B",
"city": "COMPTON",
"state": "CA",
"postal_code": "902213449",
"telephone_number": "323-774-6551",
"fax_number": "310-763-2315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 S LONG BEACH BLVD",
"address_2": "SUITE B",
"city": "COMPTON",
"state": "CA",
"postal_code": "902213449",
"telephone_number": "323-774-6551",
"fax_number": "310-763-2315"
}
],
"practiceLocations": [
{
"address_1": "11868 Rosecrans Ave",
"address_purpose": "LOCATION",
"city": "Norwalk",
"state": "CA",
"postal_code": "906504103",
"country_code": "US",
"telephone_number": "562-864-3113",
"fax_number": "310-763-2315",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON-CHAVIS",
"first_name": "TONI",
"middle_name": "DENISE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-18",
"last_updated": "2023-06-07",
"certification_date": "2022-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A32796",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "95-4142115",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Compton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.