Individual provider Active NPI

Christina Xochi Rose Chavez-Johnson, MD

  • Family Medicine Physician
  • Oakland, CA
National Provider Identifier
1568763233
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
118528 Issued in CA
Practice address
1030 International Blvd.
Oakland, CA 94606
Phone
(510) 238-5400
Fax
(510) 238-5437
NPI assigned
Nov 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 118528 CA Primary

Addresses

Primary practice location

1030 International Blvd.
Oakland, CA 94606

Mailing address

P.O. Box 22210
Oakland, CA 94623
Phone (510) 535-2965

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120502000414 CA Practitioner - Family Practice 4880856145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Clinica de la Raza IncGroup PAC ID 1557258282, 130 clinicians

Practice addresses (Care Compare)

1030 International Blvd
Oakland, CA 94606-3730
Phone (510) 238-5400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
118528CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Clinica de la Raza Inc CurrentSince Aug 28, 2014 Accepting new patients
Gateway Home Health Corp. CurrentSince Jan 11, 2025 Accepting new patients
Christina Chavez-Johnson MD, Inc Family Medicine CurrentSince Jan 11, 2025 Accepting new patients
La Clinica de la Raza, Inc. CurrentSince Aug 28, 2014 Accepting new patients
La Clinica de la Raza Inc Current Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
La Clinica de la Raza, Inc. Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

1030 International Blvd
Oakland, CA 94606
Phone (510) 238-5400

2021 Main St
Oakley, CA 94561
Phone (925) 776-8200

10 Crow Canyon Ct
Ste 210
San Ramon, CA 94583
Phone (808) 631-8522

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: cchavezjohnson306264@direct.ochin.org
  • Direct secure messaging: christinaxochi.chavez-johnson@958238670913540.direct.elationemr.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1568763233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 22210",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94623",
            "telephone_number": "510-535-2965",
            "fax_number": "510-535-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 INTERNATIONAL BLVD.",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94606",
            "telephone_number": "510-238-5400",
            "fax_number": "510-238-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ-JOHNSON",
        "first_name": "CHRISTINA",
        "middle_name": "XOCHI ROSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-10",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "118528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.