Chavez Medical Group, Inc
LBN: Chavez Medical Group, Inc
Chavez Medical Group, Inc is an health care organization with primary practice located at 5260 N Palm Ave Ste 201 , Fresno CA 93704-2217. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Multi-Specialty. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Chavez Medical Group, Inc can be contacted via phone (559) 840-0066, or through Chavez, Juan G via phone (559) 840-0066.
Contact Information
Primary practice address
5260 N Palm Ave Ste 201
Fresno CA 93704-2217
Phone: (559) 840-0066
Fax: (559) 272-0479
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A67620 | California |
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1407129018 |
|---|---|
| LBN Legal business name | Chavez Medical Group, Inc |
| DBA Doing business as | |
| Authorized official | Chavez, Juan G Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 13th, 2012 |
| Last updated | Dec 19th, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407129018 | NPPES |
| California | MEDICAID | 00A676201 |
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