Individual provider Active NPI

Victor S Chavez-Abraham, SA-C,RN

  • Surgical Assistant
  • Highlands Ranch, CO
National Provider Identifier
1629356647
Registry record updated May 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
SA.0001276 Issued in CO
Practice address
11000 Timber Ridge LN
Highlands Ranch, CO 80130-6956
Phone
(303) 587-7121
Fax
(303) 734-2291
NPI assigned
Jul 25, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X SA.0001276 CO Primary
Registered Nurse 163W00000X RN.0200006 CO

Addresses

Primary practice location

11000 Timber Ridge LN
Highlands Ranch, CO 80130-6956

Mailing address

11000 Timber Ridge LN
Highlands Ranch, CO 80130-6956
Phone (303) 587-7121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN.0200006COMDRegistered Nurse
SA.0001276COMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vca in Surgery Assisting Services LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1629356647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 TIMBER RIDGE LN",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801306956",
            "telephone_number": "303-587-7121",
            "fax_number": "303-734-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11000 TIMBER RIDGE LN",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801306956",
            "telephone_number": "303-587-7121",
            "fax_number": "303-734-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ-ABRAHAM",
        "first_name": "VICTOR",
        "middle_name": "S",
        "credential": "SA-C,RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-25",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CO",
            "license": "SA.0001276",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.0200006",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.