Liza D Chavez, MD., Inc

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

G76279 Issued in CA

Legal business name

LIZA D CHAVEZ, MD., INC

Practice address

3650 E. South St
Suite 308
Lakewood, CA 90712-1405

Phone

(562) 633-2204

Fax

(562) 633-2579

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Liza D Chavez, M.D.NPI 1316038045

Title

Medical Director

Phone

(562) 633-2204

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Liza Dominguez Chavez, M.D.

  • Infectious Disease Physician
  • Lakewood, CA
  • NPI 1316038045
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1710074257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14642",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908534642",
            "telephone_number": "562-633-2204",
            "fax_number": "562-633-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 E. SOUTH ST",
            "address_2": "SUITE 308",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121405",
            "telephone_number": "562-633-2204",
            "fax_number": "562-633-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIZA D CHAVEZ, MD., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "LIZA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "562-633-2204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "G76279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G762790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Francis Ling III, M.D.
• Jason Lisby
• Michelle Marie Litzinger, D.C
• Jennifer NG Liu, O.D.
• Live Life Optical Inc
• Carolina Llerenas
• Long Beach - Lakewood Orthopedic Institute
• Long Beach Veterans Administration Medical Center
• Susan Long, NP
• Laarni Longaza, LVN

• Infectious Disease Physician in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.