Active NPI
Rachel Chavez, P.A.
- Physician Assistant
- Redwood Valley, CA
National Provider Identifier
1346575511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA20492
- Practice address
- 6991 N State St
Redwood Valley, CA 95470-9629 - Phone
- (707) 485-5115
- Fax
- (707) 485-8271
- NPI assigned
- Oct 6, 2009
- Sex
- Female
- 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 | PA20492 | CA | Primary |
Addresses
Primary practice location
6991 N State St
Redwood Valley, CA 95470-9629
Mailing address
PO Box 387
Calpella, CA 95418-0387
Phone (707) 485-5115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA20492 | Other | CA | CA LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA20492 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Life Health Authority | Current | Accepting new patients |
Locations
6650 Gunpark Dr
Ste 100
Boulder, CO 80301
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cedar Wellness Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Tacoma, WA
- NPI 1992582613
TX
-
dba New Life LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Ukiah, CA
- NPI 1104435734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286928000000",
"number": "1346575511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 387",
"city": "CALPELLA",
"state": "CA",
"postal_code": "954180387",
"telephone_number": "707-485-5115",
"fax_number": "707-485-8271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6991 N STATE ST",
"city": "REDWOOD VALLEY",
"state": "CA",
"postal_code": "954709629",
"telephone_number": "707-485-5115",
"fax_number": "707-485-8271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "RACHEL",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-06",
"last_updated": "2010-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA20492",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA LICENSE #",
"identifier": "PA20492",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Redwood Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.