Stephen Ira Chavin, M.D.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

88528 Issued in CA

Practice address

4722 Foulger Dr
Santa Rosa, CA 95405-7910

Phone

(707) 539-6625

NPI assigned

Jun 17, 2011

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

Doctor of Medicine

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1225323173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4722 FOULGER DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057910",
            "telephone_number": "707-539-6625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4722 FOULGER DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057910",
            "telephone_number": "707-539-6625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVIN",
        "first_name": "STEPHEN",
        "middle_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "88528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Alexander Chavez
• Jessica Chavez, AMFT
• Michelle Chavez
• Rose Marie Chavez
• Vicente Chavez, DDS
• Kenneth H Chee, PHARMD
• Michael Albert Chee, LCSW
• Chelsea Kirin Morris
• Gina H Chen, MD
• Michael Graham Chen, M.D.

• Geriatric Medicine (Internal Medicine) Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Geriatric Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.