Mayder Chacon, RN
Individual provider Active NPI Case Management Registered Nurse · Arleta, CA
NPI 1194921965 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194921965
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Management Registered Nurse 163WC0400X
- License
- 583986 (CA)
- Practice address
- 8902 Woodman Ave
Arleta, CA 91331-6401 - Phone
- (818) 830-7033
- NPI assigned
- Jun 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 583986 | CA | MD | Case Management Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Proyecto del Barrio, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 583986 | CA | Yes |
Addresses
Primary practice location
8902 Woodman Ave
Arleta, CA 91331-6401
Mailing address
8902 Woodman Ave
Arleta, CA 91331-6401
Phone (818) 830-7033
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EAP70468F | Other | CA | EAPC PROGRAM |
Other providers in Arleta, CA
- Caring Corner Assisted Living
- Carlos Dizon
- Casa Flow Therapy
- Mauricio Jose Castillo
- Destiny Cespedes
- Abid Nazir Chaudhry
- Christopher B Choi
- Christopher Choi, DDS
- Comprehensive Community Health Centers, Inc
- Coppelson Director Dental Partnership
All providers in Arleta, CA · Case Management Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.