Individual provider Active NPI

Aide Chavez

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1659716116
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT117885 Issued in CA
Practice address
121 Linden Ave Ste B-108
Long Beach, CA 90802-4990
Phone
(562) 275-8966
Fax
(562) 735-4141
NPI assigned
May 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF70689 CA
Marriage & Family Therapist 106H00000X LMFT117885 CA Primary

Addresses

Primary practice location

121 Linden Ave Ste B-108
Long Beach, CA 90802-4990

Mailing address

8926 Marshall St
Rosemead, CA 91770-1850
Phone (626) 485-8506

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250418001545 CA Practitioner - Marriage and Family Therapist 9133644404 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMF70689CAMDMarriage & Family Therapist
LMFT117885CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Monsignor Oscar a Romero CurrentSince Feb 7, 2025 Accepting new patients
Clinica Monsignor Oscar a. Romero CurrentSince Feb 7, 2025 Accepting new patients
Clinica Monsignor Oscar a Romero Past Accepting new patients
Transforming Life Center, Inc Past Accepting new patients

Locations

2032 Marengo St
Los Angeles, CA 90033
Phone (213) 989-7700

123 S Alvarado St
Los Angeles, CA 90057
Phone (213) 989-7700

540 N Montebello Blvd
Ste D
Montebello, CA 90640
Phone (213) 989-7700

Interoperability endpoints

  • Direct secure messaging: achavez741236@direct.ochin.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1659716116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8926 MARSHALL ST",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701850",
            "telephone_number": "626-485-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 LINDEN AVE STE B-108",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024990",
            "telephone_number": "562-275-8966",
            "fax_number": "562-735-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "AIDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-09",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF70689",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT117885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.