Marco Antonio Chavez, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A115932 Issued in CA

Practice address

3914 3Rd Ave
San Diego, CA 92103-3003

Phone

(619) 344-7036

Fax

(619) 291-4426

NPI assigned

Feb 25, 2011

Last updated

Aug 24, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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.

• Marco Chavez MD Corp

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1245675412
  Authorized official Same address or phone

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377302400000",
    "number": "1619274743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3914 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033003",
            "telephone_number": "619-344-7036",
            "fax_number": "619-291-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3914 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033003",
            "telephone_number": "619-344-7036",
            "fax_number": "619-291-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "MARCO",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-25",
        "last_updated": "2013-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A115932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A115932",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Chavez, ASW
• Laura Lizette Chavez, BCBA
• Luis Omar Chavez, MD
• Lupita Chavez
• Madisyn Chavez, LAT, ATC
• Miguel De Jesus Chavez
• Monica Nicole Chavez
• Nebai Chavez
• Pricilla Chavez
• Ruben Chavez Jr.

• Psychiatry Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.