JOSE CARLOS CHAVEZ NPI 1447394531

NPI Information

  • NPI: 1447394531
  • Provider Name: JOSE CARLOS CHAVEZ
  • Classification: Clinic/Center - 261QP0905X
  • Specialization: Public Health, State or Local
  • Entity Type: Organization
  • Other Name: NONE
  • Address: 17299 CREMELLO WAY
    MORENO VALLEY, CA
    ZIP 92555
  • Phone: (951) 924-5023

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NPI Details

JOSE CARLOS CHAVEZ is a public health and state or local clinic center in Moreno Valley, CA. JOSE CARLOS CHAVEZ NPI is 1447394531. The provider is registered as an organization entity type.
The provider Other Name Is None.

The provider's business location address is:

17299 CREMELLO WAY
MORENO VALLEY, CA
ZIP 92555
Phone: (951) 924-5023

The provider's authorized official is Jose Carlos Chavez .
The authorized official title is Nurse Practitioner and has the following contact phone number (951) 924-5023.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 8/6/2008.

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
1261QP0905XClinic/CenterPublic Health, State or Local14641CALIFORNIAYes

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: 11/21/2025

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