Active NPI
Ze Chavarria, MHW
- Licensed Psychiatric Technician
- Covina, CA
National Provider Identifier
1932360104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Psychiatric Technician
- License
- PT 34419
- Practice address
- 334 E Puente St
Covina, CA 91723 - Phone
- (626) 331-1938
- NPI assigned
- Jun 20, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Psychiatric Technician | 167G00000X | PT 34419 | CA | Primary |
Addresses
Primary practice location
334 E Puente St
Covina, CA 91723
Mailing address
334 E Puente St
Covina, CA 91723-2615
Phone (626) 331-1938
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 34419 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226361600000",
"number": "1932360104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "334 E PUENTE ST",
"city": "COVINA",
"state": "CA",
"postal_code": "917232615",
"telephone_number": "626-331-1938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "334 E PUENTE ST",
"city": "COVINA",
"state": "CA",
"postal_code": "91723",
"telephone_number": "626-331-1938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVARRIA",
"first_name": "ZE",
"name_prefix": "Mr.",
"credential": "MHW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-20",
"last_updated": "2008-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "167G00000X",
"taxonomy_group": "",
"desc": "Licensed Psychiatric Technician",
"state": "CA",
"license": "PT 34419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.