Organization Active NPI

Cesar T. Chavez MD, Inc.

  • Ophthalmology Physician
  • El Centro, CA
National Provider Identifier
1730209966
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G51615 Issued in CA
Legal business name
CESAR T. CHAVEZ MD, INC.
Practice address
610 S 8TH St
El Centro, CA 92243-3215
Phone
(760) 335-3737
Fax
(760) 335-3662
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Authorized official

Name
Teresa C Chavez
Title
Office Manager
Phone
(858) 756-2944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X G51615 CA Primary

Addresses

Primary practice location

610 S 8TH St
El Centro, CA 92243-3215

Mailing address

PO Box 790
Solana Beach, CA 92075-0790
Phone (858) 756-2944

Other identifiers 2

IdentifierTypeStateIssuer
00G516150MedicaidCA
00G516151MedicaidCA

National Provider Directory

National Provider Directory

Locations

610 S 8th St
El Centro, CA 92243
Phone (760) 335-3737

477 N El Camino Real
Ste C200
Encinitas, CA 92024
Phone (619) 632-0606

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1730209966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920750790",
            "telephone_number": "858-756-2944",
            "fax_number": "858-756-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S 8TH ST",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922433215",
            "telephone_number": "760-335-3737",
            "fax_number": "760-335-3662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CESAR T. CHAVEZ MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "858-756-2944"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G51615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G516150",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G516151",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.