Active NPI
Marianela Ortiz Chaves, HMA, MHA
- Prevention Professional
- Santa Clara, CA
National Provider Identifier
1386472710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- 56-859156
- Practice address
- PO Box 251
Santa Clara, CA 95052-0251 - Phone
- (408) 896-3215
- NPI assigned
- Jul 25, 2024
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | 56-859156 | NY | |
| Hospitalist Physician | 208M00000X | 56-859156 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 56-859156 | NY | |
| Prevention Professional | 405300000X | 56-859156 | NY | Primary |
Addresses
Primary practice location
PO Box 251
Santa Clara, CA 95052-0251
Mailing address
PO Box 251
Santa Clara, CA 95052-0251
Phone (408) 896-3215
Other practice location 1
45 Wildflower Dr
Rochester, NY 14623-4332
Phone (408) 896-3215
Other names 1
- Marianela Ortiz -Chaves Dahla
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56-859156 | NY | MD | Hospitalist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722124800000",
"number": "1386472710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 251",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950520251",
"telephone_number": "408-896-3215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 251",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950520251",
"telephone_number": "408-896-3215"
}
],
"practiceLocations": [
{
"address_1": "45 Wildflower Dr",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146234332",
"country_code": "US",
"telephone_number": "408-896-3215",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORTIZ CHAVES",
"first_name": "MARIANELA",
"credential": "HMA, MHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-25",
"last_updated": "2024-07-28",
"certification_date": "2024-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NY",
"license": "56-859156",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "56-859156",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "56-859156",
"primary": false
},
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "NY",
"license": "56-859156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIANELA",
"last_name": "ORTIZ -CHAVES DAHLA",
"credential": "HMA, MHA",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.