Active NPI
Ivory Mae Chavez Long
- Social Worker
- Oxnard, CA
National Provider Identifier
1427593128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 77840
- Practice address
- 1540 Nelson PL
Oxnard, CA 93033-6613 - Phone
- (805) 824-1887
- NPI assigned
- Jan 4, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 77840 | CA | Primary |
Addresses
Primary practice location
1540 Nelson PL
Oxnard, CA 93033-6613
Mailing address
1540 Nelson PL
Oxnard, CA 93033-6613
Phone (805) 824-1887
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 |
|---|---|---|---|
| 77840 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483488000000",
"number": "1427593128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 NELSON PL",
"city": "OXNARD",
"state": "CA",
"postal_code": "930336613",
"telephone_number": "805-824-1887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 NELSON PL",
"city": "OXNARD",
"state": "CA",
"postal_code": "930336613",
"telephone_number": "805-824-1887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "IVORY MAE",
"middle_name": "CHAVEZ",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-04",
"last_updated": "2017-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "77840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oxnard, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.