Dr. Dan Chavira MD, a Professional Corporation

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

A89310 Issued in CA

Legal business name

DR. DAN CHAVIRA MD, A PROFESSIONAL CORPORATION

Practice address

3661 Torrance Blvd Ste 200
Torrance, CA 90503-4886

Phone

(310) 923-9931

NPI assigned

Oct 26, 2012

Last updated

Jan 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Matthew Chavira, M.D.

Title

Medical Director

Phone

(310) 923-9931

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1659625796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 TORRANCE BLVD STE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034886",
            "telephone_number": "310-923-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 TORRANCE BLVD STE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905034886",
            "telephone_number": "310-923-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DAN CHAVIRA MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "CHAVIRA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "310-923-9931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "A89310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Torrance, CA
• Providers in Torrance, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.