Active NPI
Meghan Ashley Magyawi Chaco
- Family Nurse Practitioner
- San Diego, CA
National Provider Identifier
1497580666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95030516
- Practice address
- 8583 Aero Dr Apt 4124
San Diego, CA 92123-1386 - Phone
- (619) 316-3336
- NPI assigned
- Sep 5, 2024
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95030516 | CA | Primary |
Addresses
Primary practice location
8583 Aero Dr Apt 4124
San Diego, CA 92123-1386
Mailing address
8583 Aero Dr Apt 4124
San Diego, CA 92123-1386
Phone (619) 316-3336
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GU
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251125004825 | GU | Practitioner - Nurse Practitioner | 9739602533 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Takecare Insurance Company Inc
Practice addresses (Care Compare)
548 S Marine Corps Dr
Tamuning, GU 96913-3539
Phone (671) 646-5825
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Takecare Insurance Company Inc. | Single Specialty | Current | Accepting new patients |
| San Diego Family Care | Past | Accepting new patients | |
| San Diego Family Care | Past | Accepting new patients | |
| San Diego Family Care | Single Specialty | Past | Accepting new patients |
| San Diego Family Care | Single Specialty | Past | Accepting new patients |
Locations
548 S Marine Corps Dr
Tamuning, GU 96913
Phone (671) 646-5824
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- Tamuning, GU
- NPI 1972565240
GU, Single Specialty
-
- Community Based Hospice Care Agency
- Tamuning, GU
- NPI 1497859565
-
- Home Health Agency
- Tamuning, GU
- NPI 1700979713
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1457724858
Single Specialty
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1730218348
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1780665877
Single Specialty
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1962483040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1497580666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8583 AERO DR APT 4124",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231386",
"telephone_number": "619-316-3336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8583 AERO DR APT 4124",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231386",
"telephone_number": "619-316-3336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHACO",
"first_name": "MEGHAN ASHLEY",
"middle_name": "MAGYAWI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-05",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95030516",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.