Individual provider Active NPI

Julianne Chaves

  • Physician Assistant
  • Walnut Creek, CA
National Provider Identifier
1891463667
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
63969 Issued in CA
Practice address
575 Lennon LN
Walnut Creek, CA 94598-2443
Phone
(925) 602-7060
NPI assigned
Sep 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 63969 CA Primary

Addresses

Primary practice location

575 Lennon LN
Walnut Creek, CA 94598-2443

Mailing address

575 Lennon LN
Walnut Creek, CA 94598-2443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240501002543 CA Practitioner - Physician Assistant 0941640460 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Oregon Health Sciences University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Plus Telehealth IncGroup PAC ID 0941630123, 27 clinicians

Practice addresses (Care Compare)

1387 E 2ND St
Benicia, CA 94510-2836
Phone (707) 377-1005

2360 1St St
Napa, CA 94559-2239
Phone (707) 377-1007

440 E Washington St
Suite D
Petaluma, CA 94952-5923
Phone (707) 940-5005

446 W Napa St
Sonoma, CA 95476-6519
Phone (707) 690-5332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
63969CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Jun 24, 2024 Accepting new patients
Urgent Care Plus Telehealth Inc CurrentSince Mar 17, 2024 Accepting new patients
Bay Area Surgical Specialists, Inc a Medical Corporation CurrentSince Jun 24, 2024 Accepting new patients
Bass Medical Group Past Accepting new patients
Bass Medical Group Past Accepting new patients
Bass Medical Group Past Accepting new patients
Urgent Care Plus Telehealth Inc PastSince Dec 13, 2022 Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

1387 E 2nd St
Benicia, CA 94510
Phone (707) 377-1005

446 W Napa St
Sonoma, CA 95476
Phone (707) 690-5332

575 Lennon Ln
Walnut Creek, CA 94598
Phone (925) 378-4512

2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424

575 Lennon Ln
Ste 152
Walnut Creek, CA 94598
Phone (925) 602-7060

Interoperability endpoints

  • Direct secure messaging: julianne.chaves.1@21754.direct.athenahealth.com
  • Direct secure messaging: jchaves175608@ehr.johnmuirhealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1630800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1891463667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 LENNON LN",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 LENNON LN",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982443",
            "telephone_number": "925-602-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVES",
        "first_name": "JULIANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-05",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "63969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.