NPIMap

Individual provider Active NPI

Eric M Chavez, MD

  • Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1902813157
Registry record updated Oct 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A67412 Issued in CA
Practice address
770 Washington St Ste 200
Artemis Medical Group
San Diego, CA 92103-2209
Phone
(858) 278-3636
Fax
(858) 278-3637
NPI assigned
Aug 1, 2006
Last updated
Oct 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 057056 GA
Psychiatry Physician 2084P0800X A67412 CA Primary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X A67412 CA

Addresses

Primary practice location

770 Washington St Ste 200
Artemis Medical Group
San Diego, CA 92103-2209

Mailing address

770 Washington St Ste 200
Artemis Medical Group
San Diego, CA 92103-2209
Phone (858) 278-3636

Other identifiers 1

IdentifierTypeStateIssuer
00A674120MedicaidCA

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
67412CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
A67412CAMDAddiction Medicine (Psychiatry & Neurology) Physician
057056GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stepping Stone of San Diego, Inc. Past Accepting new patients
Fulton County Mhddad Past Accepting new patients
Fulton County Mental Health Center Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412899200000",
    "number": "1902813157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 WASHINGTON ST STE 200",
            "address_2": "ARTEMIS MEDICAL GROUP",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032209",
            "telephone_number": "858-278-3636",
            "fax_number": "858-278-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 WASHINGTON ST STE 200",
            "address_2": "ARTEMIS MEDICAL GROUP",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032209",
            "telephone_number": "858-278-3636",
            "fax_number": "858-278-3637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "ERIC",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "057056",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A67412",
            "primary": true
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "A67412",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A674120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; 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.