Chavez Medical Group, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A67620 Issued in CA

Legal business name

CHAVEZ MEDICAL GROUP, INC

Practice address

5260 N Palm Ave Ste 201
Fresno, CA 93704-2217

Phone

(559) 840-0066

Fax

(559) 272-0479

NPI assigned

Feb 13, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Juan G Chavez, MD

Title

President/Ceo

Phone

(559) 840-0066

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1407129018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5260 N PALM AVE STE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042217",
            "telephone_number": "559-840-0066",
            "fax_number": "559-272-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5260 N PALM AVE STE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042217",
            "telephone_number": "559-840-0066",
            "fax_number": "559-272-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAVEZ MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-18",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "559-840-0066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A67620",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A676201",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cory Chavarria
• Nicole Chavarria
• Dayci J Chavez Ceja
• Chavez Family Dental Inc.
• Chavez Gonzalez Psychology Associates PC
• Sayra Chavez-Cortes
• Yadira Chavez-Martinez
• Kimberly Chavez-Pastor
• Brenda Chavez-Prestegui
• Alberto Chavez

• Internal Medicine Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.