Kyiesha Chavez

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

25030 Ocotillo Ave
Moreno Valley, CA 92553-4440

Phone

(951) 247-3000

NPI assigned

Dec 13, 2023

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Purposely Chosen, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Moreno Valley, CA
  • NPI 1679178396
  NPD
• Purposely Chosen, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • San Bernardino, CA
  • NPI 1902401623
  NPD (past)

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1831967439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 3RD ST STE 2",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925073454",
            "telephone_number": "951-682-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25030 OCOTILLO AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925534440",
            "telephone_number": "951-247-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2248 Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924072444",
            "country_code": "US",
            "telephone_number": "909-473-1700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "KYIESHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Briana Quetzali Chavez
• Denise Chavez
• Eda G Chavez
• Hugo Chavez, PROBATION OFFICER
• Jennifer Crystal Chavez
• Mike Angel Chavez
• Amy W Chen, PHARMD
• Millennie Chen, MD
• Miryah Chen, M.D.
• Samantha Chen

• Case Manager/Care Coordinator in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.