Marco Chavez MD Corp

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A115932 Issued in CA

Legal business name

MARCO CHAVEZ MD CORP

Practice address

3761 Centre St
304
San Diego, CA 92103-0919

Phone

(619) 344-7036

Fax

(619) 291-4426

NPI assigned

May 1, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Marco Antonio Chavez, M.D.

Title

President

Phone

(619) 344-7036

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1245675412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3914 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033003",
            "telephone_number": "619-291-4808",
            "fax_number": "619-291-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3761 CENTRE ST",
            "address_2": "304",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921030919",
            "telephone_number": "619-344-7036",
            "fax_number": "619-291-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCO CHAVEZ MD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-344-7036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A115932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orry J Marciano II, PA
• Anthony Joseph Marciante, DDS
• Marcie I. Goldman, PH.D, Psychologist, Inc.
• Roman John Marciniak
• Joseph Lee Marcle, LMFT
• Marco Savittieri, DDS., Inc.
• Brandi Marie Marcoe Saffle, LCSW
• Anthony William Marcon, DPT
• Giulia T Marcone
• Marcos Borrero MD Inc

• Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.