Anthony Manuel Chavira, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

145793 Issued in CA

Practice address

409 W Olympic Blvd Apt 507
Los Angeles, CA 90015-1633

Phone

(323) 551-7754

NPI assigned

Jul 30, 2019

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1235783929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W OLYMPIC BLVD APT 507",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900151633",
            "telephone_number": "323-551-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W OLYMPIC BLVD APT 507",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900151633",
            "telephone_number": "323-551-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVIRA",
        "first_name": "ANTHONY",
        "middle_name": "MANUEL",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-30",
        "last_updated": "2024-03-19",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "145793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Chavez
• Wendy Chavez
• Yoselin Chavez
• Zaida Chavez
• Andres Lopez Chavira
• Emiliano R Chavira, M.D.
• Geraldine Chavira
• Mammie Ruth Chavira, LMFT
• Shaniece Yvette Chavis, APRN
• Diana Elana Chavkin, MD

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.