Individual provider Active NPI

Juan G Chavez, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1972500924
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A67620 Issued in CA
Practice address
851 S Rampart Blvd Ste 220
Las Vegas, NV 89145-4887
Phone
(702) 577-3174
Fax
(559) 272-0479
NPI assigned
Jul 6, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A67620 CA Primary

Addresses

Primary practice location

851 S Rampart Blvd Ste 220
Las Vegas, NV 89145-4887

Mailing address

851 S Rampart Blvd Ste 220
Las Vegas, NV 89145-4887
Phone (702) 577-3174

Other identifiers 1

IdentifierTypeStateIssuer
00A676201MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100126000768 CA Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8820130099 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease
Education
University of California, Davis School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Agnes Medical FoundationGroup PAC ID 7618946369, 161 clinicians

Practice addresses (Care Compare)

1221 E Spruce Ave
Fresno, CA 93720-3374
Phone (559) 450-5777

1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-3433

1379 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-6388

Hospital & facility affiliations

  • Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093

Merit-based Incentive Payment System (MIPS)

Final score
85.57 of 100Reported as group
Quality
63.43
Promoting interoperability
98
Improvement activities
40
Cost
77.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A67620CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince Aug 1, 2016 Accepting new patients
Saint Agnes Medical Foundation Internal Medicine CurrentSince Sep 10, 2019 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
Galen Inpatient Physicians PC CurrentSince Aug 1, 2016 Accepting new patients
Saint Agnes Medical Center CurrentSince Nov 29, 2009 Accepting new patients
LQMG Medical Group Inc. Internal Medicine Current Accepting new patients
Trinity Home Health Services CurrentSince Nov 29, 2009 Accepting new patients
John Roper MD, Inc Past Accepting new patients
Hanford Community Hospital Past Accepting new patients
Pardeep S. Bhullar MD, Inc Past Accepting new patients
Adventist Health Tulare Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1303 E Herndon Ave
Stop 35
Fresno, CA 93720
Phone (559) 431-4020

1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777

7202 N Millbrook Ave
Ste 2
Fresno, CA 93720
Phone (559) 449-2930

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1972500924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 S RAMPART BLVD STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891454887",
            "telephone_number": "702-577-3174",
            "fax_number": "559-272-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 S RAMPART BLVD STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891454887",
            "telephone_number": "702-577-3174",
            "fax_number": "559-272-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "JUAN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A67620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A676201",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.