Active NPI
Cesar Chavez, FNP
- Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1821837352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NPF95029883
- Practice address
- 2105 Beverly Blvd Ste 103
Los Angeles, CA 90057-2249 - Phone
- (818) 932-4100
- NPI assigned
- May 23, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NPF95029883 | CA | Primary |
Addresses
Primary practice location
2105 Beverly Blvd Ste 103
Los Angeles, CA 90057-2249
Mailing address
2105 Beverly Blvd Ste 103
Los Angeles, CA 90057-2249
Phone (818) 932-4100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NPF95029883 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1821837352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 BEVERLY BLVD STE 103",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900572249",
"telephone_number": "818-932-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 BEVERLY BLVD STE 103",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900572249",
"telephone_number": "818-932-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "CESAR",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-23",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NPF95029883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.