Mateo Perez Chavez

Primary specialty

Social WorkerTaxonomy code 104100000X

License

110213 Issued in CA

Practice address

3490 The Alameda
Santa Clara, CA 95050-4333

Phone

(415) 506-7310

NPI assigned

Mar 13, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1457522815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22568 MISSION BLVD # 343",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945415116",
            "telephone_number": "415-548-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 THE ALAMEDA",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950504333",
            "telephone_number": "415-506-7310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "629 Oakland Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946114567",
            "country_code": "US",
            "telephone_number": "510-613-0330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "MATEO",
        "middle_name": "PEREZ",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "110213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammie Jo Chau, PHARMD
• Rakesh Chaudhary, MD
• Anand Kumar Chaudhry, DC
• Annette Chavez, MD
• Carla Gloria Chavez
• Melissa Rebecca Chavez
• Sarah Jessica Chavez, M.S
• CHD a Professional Education and Training Center
• Nicholas Chedid, MD
• Chen & Lee Dental

• Social Worker in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.