Richard Bruce Chaffee, RN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

684210 Issued in CA

Practice address

590 Traverse Dr
Costa Mesa, CA 92626-3117

Phone

(714) 559-9171

NPI assigned

Jul 30, 2018

Last updated

Jul 30, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1174001580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 KALMUS DR STE 220",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926265988",
            "telephone_number": "714-559-9171",
            "fax_number": "714-545-4180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 TRAVERSE DR",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926263117",
            "telephone_number": "714-559-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAFFEE",
        "first_name": "RICHARD",
        "middle_name": "BRUCE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "684210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xochitl Karely Cervantes
• Cesar a Echeverry DDS Corp (Costa Mesa Family Dental)
• Elizabeth Cespedes
• Alexandra Chacon
• Monica Lizette Chacon
• Zela Jane Chahbazian, MA
• Priscilla Leane Chairoj, RN
• Jean Champion, MA, CCC-SLP
• Treavor Champion
• Stephenie R Champlin, MSW, LCSW

• Adult Psychiatric/Mental Health Registered Nurse in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Adult Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; 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.