Individual provider Active NPI

Jimmy Chavez, EDS.

  • Psychologist
  • Rosemead, CA
National Provider Identifier
1831819606
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
3720 Rio Hondo Ave
Rosemead, CA 91770-2043
Phone
(626) 705-0193
NPI assigned
Aug 31, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

3720 Rio Hondo Ave
Rosemead, CA 91770-2043

Mailing address

3720 Rio Hondo Ave
Rosemead, CA 91770-2043
Phone (626) 705-0193

Other practice location 1

3907 Rosemead Blvd Ste 220
Rosemead, CA 91770-1984
Phone (626) 705-0193

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jchavez@rosemead.k12.ca.us

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1831819606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 RIO HONDO AVE",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702043",
            "telephone_number": "626-705-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 RIO HONDO AVE",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917702043",
            "telephone_number": "626-705-0193"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3907 Rosemead Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Rosemead",
            "state": "CA",
            "postal_code": "917701984",
            "country_code": "US",
            "telephone_number": "626-705-0193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "JIMMY",
        "name_prefix": "Mr.",
        "credential": "EDS.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jchavez@rosemead.k12.ca.us",
            "affiliation": "N",
            "address_1": "3720 Rio Hondo Ave",
            "city": "Rosemead",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917702043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rosemead, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.