Jose Chavez, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA21533 Issued in CA

Practice address

2115 Centerpointe Pkwy
Santa Maria, CA 93455-1334

Phone

(805) 346-7230

NPI assigned

Jun 18, 2011

Sex

Male

Sole proprietor

No

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.

• Lompoc Valley Medical Center

  • General Practice Physician
  • Lompoc, CA
  • NPI 1649282856

  CA

  Medicare reassignment Care Compare group NPD
• Lompoc Valley Medical Center

  • General Acute Care Hospital
  • Lompoc, CA
  • NPI 1194711952
  Care Compare group
• Lompoc Valley Medical Center

  • Skilled Nursing Facility
  • Lompoc, CA
  • NPI 1376539130
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Iaatk Inc

  • Home Health Agency
  • Lompoc, CA
  • NPI 1750834719
  Care Compare affiliation
• Lompoc Valley Medical Center

  • General Acute Care Hospital
  • Lompoc, CA
  • NPI 1194711952

  Hospital

  Care Compare affiliation
• Visiting Nurse and Hospice Care of Santa Barbara

  • Home Health Agency
  • Santa Barbara, CA
  • NPI 1477560035
  Care Compare affiliation

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lompoc Valley Medical Center 90 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Superior Home Health Home health agency, Lompoc, CA, CCN 559004
• Vna Health Home health agency, Santa Barbara, CA, CCN 057163
• Lompoc Valley Medical Center Hospital, Lompoc, CA, CCN 050110

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles (1 of 2)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: jose.chavez@lvmc.eclinicaldirectplus.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 18, 2011.

{
    "created_epoch": "1308355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308355200000",
    "number": "1225323116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 N O ST APT B",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934365855",
            "telephone_number": "805-735-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 CENTERPOINTE PKWY",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551334",
            "telephone_number": "805-346-7230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "JOSE",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-18",
        "last_updated": "2011-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Chavez de Perez
• Carlos Chavez
• Gustavo Chavez
• Ishmael Chavez
• Jocelyn Elizabeth Chavez, MPH,PA
• Juanita Cantu Chavez
• Kimberly Chavez
• Larry Avila Chavez
• Lupe Vega Chavez
• Mathilde Chavez, D.D.S.

• All providers in Santa Maria, CA
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.