Active NPI
New Life OBGYN PLLC
- Obstetrics & Gynecology Physician
- Yakima, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- NEW LIFE OBGYN PLLC
- Practice address
- 1006 S 64TH Ave Ste 120
Yakima, WA 98908-2090 - Phone
- (509) 517-7777
- Fax
- (509) 317-9547
- NPI assigned
- Jan 5, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rachelle Sanjuan Chavez, DO
- Title
- Owner
- Phone
- (509) 517-5777
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
1006 S 64TH Ave Ste 120
Yakima, WA 98908-2090
Mailing address
1006 S 64TH Ave Ste 120
Yakima, WA 98908-2090
Phone (509) 517-5777
Other names 1
- New Life Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2265708 | New Life Clinic | Provider-performed microscopy | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
1006 S 64th Ave
Ste 120
Yakima, WA 98908
Phone (509) 517-5777
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Yakima, WA
- NPI 1811422025
-
- Midwife
- Yakima, WA
- NPI 1871312652
-
- Advanced Practice Midwife
- Yakima, WA
- NPI 1033414784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730073600000",
"number": "1558022103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006 S 64TH AVE STE 120",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989082090",
"telephone_number": "509-517-5777",
"fax_number": "509-317-9547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 S 64TH AVE STE 120",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989082090",
"telephone_number": "509-517-7777",
"fax_number": "509-317-9547"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW LIFE OBGYN PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-05",
"last_updated": "2024-10-28",
"certification_date": "2024-10-24",
"status": "A",
"authorized_official_last_name": "SANJUAN CHAVEZ",
"authorized_official_first_name": "RACHELLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "509-517-5777",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "New Life Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "New Life Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.