Alberto Chavira M D a Medical Corp

Primary specialty

SpecialistTaxonomy code 174400000X

License

G50302 Issued in CA

Legal business name

ALBERTO CHAVIRA M D A MEDICAL CORP

Doing business as

Alberto Chavira, MD. A Medical Corporation

Practice address

334 Via Vera Cruz
Suite 257
San Marcos, CA 92078-2635

Phone

(760) 510-1808

Fax

(760) 510-1811

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Alberto Chavira, MDNPI 1508865759

Title

President

Phone

(760) 510-1808

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alberto Chavira, MD. A Medical Corporation Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13196/brand/1/csg/1/fhir/r4

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alberto Chavira, M.D.

  • Specialist
  • San Marcos, CA
  • NPI 1508865759
  Medicare reassignment Authorized official
• Tania Borja-Rodriguez, FNP

  • Nurse Practitioner
  • Stanford, CA
  • NPI 1437623253
  Medicare reassignment
• Erika Livier Bahena, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Escondido, CA
  • NPI 1144949421
  NPD

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1245351014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 VIA VERA CRUZ",
            "address_2": "SUITE 257",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782635",
            "telephone_number": "760-510-1808",
            "fax_number": "760-510-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 VIA VERA CRUZ",
            "address_2": "SUITE 257",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782635",
            "telephone_number": "760-510-1808",
            "fax_number": "760-510-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERTO CHAVIRA M D A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2024-03-22",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "CHAVIRA",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-510-1808",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G50302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G503020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alberto Chavira, MD. A Medical Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Najlaa Al-Jibouri, PHARM D
• Jannah Firdaous Alaoui, CNM, RN
• Jocelyn Alavez
• Katrina Mae Albania, DNP, FNP-BC
• Ashley B Albers, MSOT R/L
• Albertsons LLC
• Albertsons LLC
• Leonardo Alcala
• Anthony J Alden
• Gwendolyn Alden, PT

• Specialist in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.