Active NPI
Santiago A Chavez, PA
- Physician Assistant
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- TEMPORARY LICENSE
- Practice address
- 3811 E Bell Rd Ste 309
Phoenix, AZ 85032-2160 - Phone
- (480) 420-0749
- Fax
- (480) 420-0732
- NPI assigned
- Oct 28, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TEMPORARY LICENSE | TX | Primary |
Addresses
Primary practice location
3811 E Bell Rd Ste 309
Phoenix, AZ 85032-2160
Mailing address
3811 E Bell Rd Ste 309
Phoenix, AZ 85032-2160
Phone (480) 420-0749
Other practice location 1
3100 N Lee Trevino Dr Ste B
El Paso, TX 79936
Phone (915) 533-7465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208169703 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1840 S Stapley Dr
Suite 137
Mesa, AZ 85204-6683
Phone (480) 558-3744
3929 E Bell Rd
Phoenix, AZ 85032-2112
Phone (602) 274-6506
5130 W Baseline Rd
Suite 102
Laveen, AZ 85339-2984
Phone (602) 237-0039
708 S Coeur D Alene LN
Suite 100
Payson, AZ 85541-5662
Phone (928) 472-7440
708 S Coeur D'Alene Lane
Suite a
Payson, AZ 85541-5662
Phone (602) 726-8805
708 S Coeur D'Alene LN
Payson, AZ 85541-5662
Phone (928) 474-2175
Hospital & facility affiliations
- Abrazo Scottsdale Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| BHS Physicians Network, Inc | Current | Accepting new patients | |
| VHS Outpatient Clinics, Inc. | Current | Accepting new patients |
Locations
5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039
1840 S Stapley Dr
Ste 137
Mesa, AZ 85204
Phone (602) 952-0002
708 S Coeur D Alene Ln
Ste 100
Payson, AZ 85541
Phone (928) 472-7440
26900 N Lake Pleasant Pkwy
Ste 210
Peoria, AZ 85383
Phone (623) 561-3000
2122 E Highland Ave
Ste 100
Phoenix, AZ 85016
Phone (480) 372-2111
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
3811 E Bell Rd
Ste 309
Phoenix, AZ 85032
Phone (480) 420-0749
8630 E Via de Ventura
Ste 201
Scottsdale, AZ 85258
Phone (214) 556-3227
1700 Murchison Dr
El Paso, TX 79902
Phone (915) 534-1124
3100 N Lee Trevino Dr
Ste B
El Paso, TX 79936
Phone (915) 843-4776
3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126
Interoperability endpoints
- santiago.chavez.1@1438.direct.athenahealth.com
- santiago.chavez.1@600.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Goodyear, AZ
- NPI 1912979964
-
- Family Medicine Physician
- San Antonio, TX
- NPI 1598958431
-
- Durable Medical Equipment & Medical Supplies
- Boerne, TX
- NPI 1730079286
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1326022732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567555200000",
"number": "1295811677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3811 E BELL RD STE 309",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322160",
"telephone_number": "480-420-0749",
"fax_number": "480-420-0732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3811 E BELL RD STE 309",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322160",
"telephone_number": "480-420-0749",
"fax_number": "480-420-0732"
}
],
"practiceLocations": [
{
"address_1": "3100 N Lee Trevino Dr Ste B",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "79936",
"country_code": "US",
"telephone_number": "915-533-7465",
"fax_number": "915-534-1185",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHAVEZ",
"first_name": "SANTIAGO",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-28",
"last_updated": "2019-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "TEMPORARY LICENSE",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208169703",
"state": "TX"
}
],
"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 Sep 4, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.