Chasen Wynn Chastin

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

689293 Issued in CA

Practice address

41945 Big Bear Blvd
Suite 200
Big Bear Lake, CA 92315

Phone

(909) 866-5070

NPI assigned

Aug 25, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1659898187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 W COUNTY LINE ROAD APT #2",
            "city": "CALIMESA",
            "state": "CA",
            "postal_code": "92320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41945 BIG BEAR BLVD",
            "address_2": "SUITE 200",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "92315",
            "telephone_number": "909-866-5070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41945 BIG BEAR BLVD",
            "address_2": "SUITE 222",
            "address_purpose": "LOCATION",
            "city": "Big Bear Lake",
            "state": "CA",
            "postal_code": "92315",
            "country_code": "US",
            "telephone_number": "909-866-5070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41945 big bear blvd suite 222",
            "address_purpose": "LOCATION",
            "city": "big bear lake",
            "state": "CA",
            "postal_code": "92315",
            "country_code": "US",
            "telephone_number": "909-866-5070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHASTIN",
        "first_name": "CHASEN",
        "middle_name": "WYNN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "689293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• California Em-I Medical Services, a Medical Corporation
• Colin Campbell
• Nancy Carlson
• Cary Stewart MD Inc
• Cristal Francine Castillo
• Joy Clarke
• Ian Cormican
• Patrice J Cormican
• Thomas Joshua Cotnoir
• Leah Cottrell

• Licensed Vocational Nurse in Big Bear Lake, CA
• Providers in Big Bear Lake, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.