Organization Active NPI

Vernon B Chavez MD PLLC

  • Internal Medicine Physician
  • Yuma, AZ
National Provider Identifier
1154589679
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33459 Issued in AZ
Legal business name
VERNON B CHAVEZ MD PLLC
Practice address
901 W 24TH St
Yuma, AZ 85364-6384
Phone
(928) 317-9100
Fax
(928) 317-9300
NPI assigned
May 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Dr. Vernon B Chavez, MDNPI 1023101052
Title
Owner
Phone
(928) 317-9100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 33459 AZ Primary

Addresses

Primary practice location

901 W 24TH St
Yuma, AZ 85364-6384

Mailing address

PO Box 6205
Yuma, AZ 85366-6205
Phone (928) 317-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080728000361 AZ Part B Supplier - Clinic/Group Practice 1759276553 Receives reassigned benefits from 3 practitioners
Practice locations: Yuma, AZ

National Provider Directory

National Provider Directory

Locations

1210 W 24th St
Ste 2
Yuma, AZ 85364
Phone (928) 344-9490

1965 W 24th St
Ste A
Yuma, AZ 85364
Phone (928) 344-5774

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1154589679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6205",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853666205",
            "telephone_number": "928-317-9100",
            "fax_number": "928-317-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646384",
            "telephone_number": "928-317-9100",
            "fax_number": "928-317-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNON B CHAVEZ MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "VERNON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-317-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "33459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.