Individual provider Active NPI

Travis Chase, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1508255068
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP029603 Issued in PA
Practice address
5030 Camino de la Siesta
Suite 204
San Diego, CA 92108-3116
Phone
(858) 514-3700
NPI assigned
Jan 21, 2015
Last updated
Jun 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95001897 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN002549 NV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP029603 PA Primary

Addresses

Primary practice location

5030 Camino de la Siesta
Suite 204
San Diego, CA 92108-3116

Mailing address

5030 Camino de la Siesta Ste 204
San Diego, CA 92108-3118
Phone (858) 514-3700

Other practice location 1

2704 N Tenaya Way
Las Vegas, NV 89128-0424
Phone (702) 243-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170807001791 NV Practitioner - Nurse Practitioner 8921379124 Reassigns benefits to 3 organizations
I20240531001220 PA Practitioner - Nurse Practitioner 8921379124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delaware County Professional Services, IncGroup PAC ID 2668436692, 276 clinicians

Practice addresses (Care Compare)

3800 Sierra Cir
Suite 210
Center Valley, PA 18034-8476
Phone (610) 892-3800

780 E Market St
West Chester, PA 19382-4882
Phone (610) 892-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95001897CAMDFamily Nurse Practitioner
APRN002549NVMDPsychiatric/Mental Health Nurse Practitioner
SP029603PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Family Physicians Medical Group Inc CurrentSince May 1, 2026 Accepting new patients
Southwest Medical Associates, Inc CurrentSince Jul 24, 2017 Accepting new patients
Optum Medical Group Rhodes P C Current Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Jun 11, 2019 Accepting new patients
Progressive Psychiatric Services, LLC CurrentSince Jun 1, 2022 Accepting new patients
South Coast Gynecologic Oncology, Inc CurrentSince Aug 30, 2021 Accepting new patients
Delaware County Professional Services, Inc CurrentSince May 23, 2024 Accepting new patients
Progressive Psychiatric Services, LLC PastSince May 25, 2025 Accepting new patients

Locations

5030 Camino de la Siesta
Ste 204
San Diego, CA 92108
Phone (858) 455-5524

2021 S Jones Blvd
Las Vegas, NV 89146
Phone (702) 750-1820

2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330

2704 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 243-8500

2830 S Jones Blvd
Ste 3
Las Vegas, NV 89146
Phone (702) 899-1208

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

3800 Sierra Cir
Ste 210
Center Valley, PA 18034
Phone (855) 995-5384

1055 E Baltimore Pike
Ste 300
Media, PA 19063
Phone (253) 346-0020

780 E Market St
West Chester, PA 19382
Phone (425) 908-0237

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.travischase@141748.advancedmd-direct.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1508255068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 CAMINO DE LA SIESTA STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083118",
            "telephone_number": "858-514-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 CAMINO DE LA SIESTA",
            "address_2": "SUITE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083116",
            "telephone_number": "858-514-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2704 N Tenaya Way",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891280424",
            "country_code": "US",
            "telephone_number": "702-243-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHASE",
        "first_name": "TRAVIS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-21",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95001897",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "APRN002549",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP029603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.