Individual provider Active NPI

Rebecca Anne Chilles, RN

  • Registered Nurse
  • Valencia, CA
National Provider Identifier
1912770652
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
828625 Issued in CA
Practice address
25727 McBean Pkwy
Valencia, CA 91355-3704
Phone
(661) 200-1083
Fax
(661) 200-1076
NPI assigned
Nov 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 828625 CA Primary

Addresses

Primary practice location

25727 McBean Pkwy
Valencia, CA 91355-3704

Mailing address

25727 McBean Pkwy
Valencia, CA 91355-3704
Phone (661) 200-1083

Other names 1

  • Rebecca Anne Chilles Chavez Other name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
828625CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Mayo Newhall Memorial Hospital PastSince Nov 5, 2023 Accepting new patients

Organizations & group practices 1

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": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1912770652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25727 MCBEAN PKWY",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913553704",
            "telephone_number": "661-200-1083",
            "fax_number": "661-200-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25727 MCBEAN PKWY",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913553704",
            "telephone_number": "661-200-1083",
            "fax_number": "661-200-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILLES",
        "first_name": "REBECCA",
        "middle_name": "ANNE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "828625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "CHAVEZ",
            "middle_name": "ANNE CHILLES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.