Active NPI
Sergio Boris Chavez, M.D.
- Psychiatry Physician
- Phoenix, AZ
National Provider Identifier
1255628525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 50038
- Practice address
- 2500 E Van Buren St
Phoenix, AZ 85008-6037 - Phone
- (602) 220-6045
- Fax
- (602) 629-7285
- NPI assigned
- Jul 7, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 50038 | AZ | Primary |
Addresses
Primary practice location
2500 E Van Buren St
Phoenix, AZ 85008-6037
Mailing address
2500 E Van Buren St
Phoenix, AZ 85008-6037
Phone (602) 220-6045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447286400000",
"number": "1255628525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 E VAN BUREN ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850086037",
"telephone_number": "602-220-6045",
"fax_number": "602-629-7285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 E VAN BUREN ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850086037",
"telephone_number": "602-220-6045",
"fax_number": "602-629-7285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "SERGIO",
"middle_name": "BORIS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-07",
"last_updated": "2015-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "50038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.