Annie Chavez

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP31760 Issued in CA

Practice address

1916 Orange Tree LN Ste 406
Redlands, CA 92374-4542

Phone

(909) 363-5857

NPI assigned

Feb 2, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Bright Side, Speech Therapy, Inc.

  • Speech-Language Pathologist
  • Redlands, CA
  • NPI 1619789542
  NPD Authorized official

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1619335973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11934 GREENBLUFF WAY",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923993478",
            "telephone_number": "909-363-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 ORANGE TREE LN STE 406",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744542",
            "telephone_number": "909-363-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "ANNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP31760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charms Property Incorporated
• Breann Marie Chase, RN
• Debora Ann Chasse, D.P.T.
• Jenny Chaves
• Sally Denise Chavez-Oyervides, MD
• Christina Chavez
• Jovan M Chavez
• Laura Chavez
• Nathaly Chavez, MA
• Naina Chawla

• Speech-Language Pathologist in Redlands, CA
• Providers in Redlands, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.