Samantha Marie Chavez

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

685772 Issued in CA

Practice address

5200 San Gabriel PL Ste C
Pico Rivera, CA 90660-2498

Phone

(562) 222-1331

NPI assigned

Dec 2, 2016

Last updated

Oct 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569888000000",
    "number": "1811430218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26460 SUMMIT CIR",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913502991",
            "telephone_number": "661-254-6630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 SAN GABRIEL PL STE C",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906602498",
            "telephone_number": "562-222-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-02",
        "last_updated": "2019-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "685772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sybil Chacko
• Jackie Chan, DPM
• Jennifer Chan
• Shirley Chang, PHARMD
• Mayra Alejandra Chavez
• Chcada/Enhanced Specialized Foster Care Mental HLTH Services
• Yung R Cho, MD
• Devin Chopra, D.P.M.
• Mala S Chopra, O.D,
• Laura Chow, PHARMD

• Licensed Vocational Nurse in Pico Rivera, CA
• Providers in Pico Rivera, 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 Oct 1, 2019; 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.