Jose Carlos Chavez

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

License

14641 Issued in CA

Legal business name

JOSE CARLOS CHAVEZ

Practice address

17299 Cremello Way
Moreno Valley, CA 92555

Phone

(951) 924-5023

NPI assigned

Feb 20, 2007

Last updated

Aug 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Jose Carlos Chavez, NP

Title

Nurse Practitioner

Phone

(951) 924-5023

Specialties & licenses 1

Addresses

Other names 1

• none Other name

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1447394531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17299 CREMELLO WAY",
            "address_2": "NA",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "92555",
            "telephone_number": "951-924-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17299 CREMELLO WAY",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "92555",
            "telephone_number": "951-924-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE CARLOS CHAVEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "951-924-5023",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "CA",
            "license": "14641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephanie Novelette Jones
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• Jose Limon Professional Medical Coorporation
• Joseph M Molina MD Professional Corporation Southern California (Molina Moreno Valley)
• Joseph M Molina MD Professional Corporation-Southern California
• Anthony Thomas Joseph, D.O.
• Achyut J Joshi, DDS

• State or Local Public Health Clinic/Center in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• State or Local Public Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.