REYNA R CHAVEZ NPI 1629261375

NPI Information

NPI: 1629261375
Provider Name: REYNA R CHAVEZ
Classification: Clinic/Center - 261QR0208X
Entity Type: Individual

Specialization: Radiology, Mobile

Address:
1440 S STATE COLLEGE BLVD
SUITE 3-K
ANAHEIM, CA
ZIP 92806
Phone: (714) 758-0660
Get Directions

Reyna R Chavez is a radiology and mobile clinic center in Anaheim, CA. Reyna R Chavez NPI is 1629261375. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1440 S STATE COLLEGE BLVD
SUITE 3-K
ANAHEIM, CA
ZIP 92806-724
Phone: (714) 758-0660
Fax: (714) 758-0770

The enumeration date for this NPI number is 8/24/2007 and was last updated on 11/6/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	FAC33625	CALIFORNIA	No
2	261QR0207X	Clinic/Center	Radiology, Mobile Mammography		CALIFORNIA	No
3	261QR0208X	Clinic/Center	Radiology, Mobile		CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CA236328	OTHER	CALIFORNIA	MEDICARE NORTHERN CALIFORNIA X-RAY PTAN
2	P01543590	OTHER	CALIFORNIA	RAILROAD MEDICARE PTAN
3	CB276312	OTHER	CALIFORNIA	MEDICARE LA COUNTY MAMMOGRAPHY PTAN
4	CB207156	OTHER	CALIFORNIA	MEDICARE SOUTHERN CALIFORNIA X-RAY PTAN
5	CB284412	OTHER	CALIFORNIA	MEDICARE SOUTHERN CALIFORNIA MAMMOGRAPHY PTAN
6	CA268381	OTHER	CALIFORNIA	MEDICARE NORTHERN CALIFORNIA MAMMOGRAPHY PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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