NPIMap

Organization Active NPI

Chavez Management, Inc

Doing business as Laguna Woods Rehabilitation Center

  • Physical Therapist
  • Laguna Woods, CA
National Provider Identifier
1811989783
Registry record updated Aug 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CHAVEZ MANAGEMENT, INC
Doing business as
Laguna Woods Rehabilitation Center
Practice address
24361 El Toro Rd
Suite 120
Laguna Woods, CA 92637-2755
Phone
(949) 916-6321
Fax
(949) 916-6340
NPI assigned
Aug 17, 2005
Last updated
Aug 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2013

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

Authorized official

Name
Mrs. Gina Michelle Chavez
Title
Ceo
Phone
(949) 916-6321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

24361 El Toro Rd
Suite 120
Laguna Woods, CA 92637-2755

Mailing address

24361 El Toro Rd
Suite 120
Laguna Woods, CA 92637-2755
Phone (949) 916-6321

Other names 1

  • Laguna Woods Rehabilitation Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040623001634 CA Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 6103801923 Practice locations: Laguna Woods, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811989783. Details of each certification follow.

  • CCN 556562 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 556562

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
LAGUNA WOODS REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
May 30, 2003
Last certification
Feb 19, 2014
Ownership / control type
Proprietary
Facility address
24361 El Toro Road, Suite 120
Laguna Hills, CA 92637

National Provider Directory

National Provider Directory

Locations

24361 El Toro Rd
Ste 120
Laguna Woods, CA 92637
Phone (949) 916-6321

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1811989783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24361 EL TORO RD",
            "address_2": "SUITE 120",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926372755",
            "telephone_number": "949-916-6321",
            "fax_number": "949-916-6340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24361 EL TORO RD",
            "address_2": "SUITE 120",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926372755",
            "telephone_number": "949-916-6321",
            "fax_number": "949-916-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAVEZ MANAGEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-17",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-916-6321",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laguna Woods Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laguna Woods, CA

Sources for this page

Verify at the official NPI Registry.