Ishmael Chavez

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

212 Carmen LN
Santa Maria, CA 93458-7769

Phone

(805) 714-9585

NPI assigned

Oct 9, 2008

Last updated

Oct 9, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1417108341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 ROYAL LN",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544645",
            "telephone_number": "805-348-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CARMEN LN",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934587769",
            "telephone_number": "805-714-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "ISHMAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARES RES NORTH",
            "identifier": "1952584228",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taimur L Chaudhry, MD
• Estrella Nathalie Chavez Benzaquen, M.D.
• Elizabeth Chavez de Perez
• Carlos Chavez
• Gustavo Chavez
• Jocelyn Elizabeth Chavez, MPH,PA
• Jose Chavez, PHYSICIAN ASSISTANT
• Juanita Cantu Chavez
• Kimberly Chavez
• Larry Avila Chavez

• Case Manager/Care Coordinator in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; 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.