Active NPI
Benjamin Chaves, M.D.
- Psychiatry Physician
- Santa Rosa, CA
National Provider Identifier
1497816730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G046082
- Practice address
- 1221 Farmers LN Ste B
Santa Rosa, CA 95405-6712 - Phone
- (707) 565-6960
- NPI assigned
- Dec 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G046082 | CA | Primary |
Addresses
Primary practice location
1221 Farmers LN Ste B
Santa Rosa, CA 95405-6712
Mailing address
1221 Farmers LN Ste B
Santa Rosa, CA 95405-6712
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G046082 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403827200000",
"number": "1497816730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 FARMERS LN STE B",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954056712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 FARMERS LN STE B",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954056712",
"telephone_number": "707-565-6960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVES",
"first_name": "BENJAMIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2014-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G046082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.