Individual provider Active NPI

Roxanne Chavez, FNP-C

  • Family Nurse Practitioner
  • Downey, CA
National Provider Identifier
1437579547
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
23022 Issued in CA
Practice address
10723 Pico Vista Rd
Downey, CA 90241-3056
Phone
(562) 644-5751
NPI assigned
Apr 16, 2014
Last updated
May 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 23022 CA Primary

Addresses

Primary practice location

10723 Pico Vista Rd
Downey, CA 90241-3056

Mailing address

8880 S Broadway
Los Angeles, CA 90003-3635
Phone (323) 750-1196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160621002799 CA Order and Referring Only - Nurse Practitioner 3072804012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: roxanne.chavezfnp.p1@direct.jwch.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1437579547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 S BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900033635",
            "telephone_number": "323-750-1196",
            "fax_number": "323-750-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10723 PICO VISTA RD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413056",
            "telephone_number": "562-644-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "ROXANNE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "23022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

Verify at the official NPI Registry.