MS. SANDRA MARIE CHACON NPI 1609126218

NPI Information

NPI: 1609126218
Provider Name: MS. SANDRA MARIE CHACON
Classification: Rehabilitation Practitioner - 225400000X
Entity Type: Individual
Address:
1359 N GRAND AVE
COVINA, CA
ZIP 91724
Phone: (626) 430-2900
Get Directions

MS. Sandra Marie Chacon is a rehabilitation practitioner in Covina, CA. The provider is a health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. MS. Sandra Marie Chacon NPI is 1609126218. 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:

1359 N GRAND AVE
COVINA, CA
ZIP 91724-016
Phone: (626) 430-2900
Fax: (626) 331-0035

The enumeration date for this NPI number is 9/12/2012 and was last updated on 3/11/2021.

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	225400000X	Rehabilitation Practitioner				Yes
2	171M00000X	Case Manager/Care Coordinator				No

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	95-3893470	OTHER	CALIFORNIA	MEDI-CAL

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: 11/14/2023

NPI Synchronization or Removal

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