RAFAEL UBALDO CHAVEZ (NPI# 1346352085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346352085 |
| Entity Type | Individual |
| Full Name | RAFAEL UBALDO CHAVEZ |
| Credential | PA |
| Practice Address |
17487 Hurley St City of Industry CA 91744-5106 |
| Mailing Address |
3651 Agate Way West Covina CA 91792-2775 |
| Practice Telephone | 6269650959 |
| Practice Fax Number | 6269121696 |
| Mailing Telephone | 6269121460 |
| Mailing Fax Number | 6269121696 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA12656 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477044303 | Rafael Chavez | Dentist | Santiago Arguello #736, Plaza Santa Cecilia, Tijuana, BAJA CALIFORNIA 22000 | 2018-05-26 |
| 1699948885 | Rafael Chavez Sr. | Contractor | 110 W Leffner Dr, Pahrump, NV 89060-2541 | 2008-04-08 |
| 1942652953 | Rafael Chavez | Pharmacist | 2603 Jackson Ave, Ann Arbor, MI 48103-3820 | 2016-07-01 |
| 1194120055 | Rafael Balbona Chavez | Emergency Medicine | 1200 N State St, Ct Room A7d, Los Angeles, CA 90033-1029 | 2014-11-04 |
| Street Address |
17487 HURLEY ST |
| City | CITY OF INDUSTRY |
| State | CA |
| Zip Code | 91744-5106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437625837 | American Current Care of California, A Medical Corporation | Clinic/Center | 17487 Hurley St, City of Industry, CA 91744-5106 | 2018-10-23 |
| 1548775901 | Michelle Sirisuk | Physical Therapist | 17487 Hurley St, City of Industry, CA 91744-5106 | 2017-12-07 |
| 1083169221 | U.S. Healthworks Medical Group, PC | Preventive Medicine | 17487 Hurley St, City of Industry, CA 91744-5106 | 2016-08-17 |
| 1447323324 | Marilyn Lenhert Mathre | Physical Therapist | 17487 Hurley St, City of Industry, CA 91744-5106 | 2006-11-16 |
| 1760555650 | Katherine Eustaquio | Physical Therapy Assistant | 17487 Hurley St, City of Industry, CA 91744-5106 | 2006-11-16 |
| 1760584205 | Meredith Jay Henshel | General Practice | 17487 Hurley St, City of Industry, CA 91744-5106 | 2006-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073158051 | Juan Gomez Jr. | Case Manager/Care Coordinator | 106 S. Seventh Avenue, La Puente, CA 91744 | 2019-11-13 |
| 1821630898 | Richard B Vasquez Jr. | Technician | 14602 Hartsville St., La Puente, CA 91744 | 2019-10-11 |
| 1639720196 | Yolanda Salazar | Technician | 14744 Flanner Street, La Puente, CA 91744 | 2019-09-26 |
| 1154898245 | Karen Elvera Garza | Case Manager/Care Coordinator | 160 S.seventh Ave, La Puente, CA 91744 | 2018-10-27 |
| 1649709916 | Briana Michelle Ramos | Student in an Organized Health Care Education/Training Program | 1550 N Hacienda Blvd., La Puente, CA 91744 | 2017-06-08 |
| 1952857237 | Autumn Abadesco | Dentist | 525 N Azusa Ave #112, La Puente, CA 91744 | 2016-08-28 |
| 1649724790 | Michelle Han | Acupuncturist | 129 Homestead St, La Puente, CA 91744 | 2016-08-06 |
| 1750756375 | Vanessa Molina | Marriage & Family Therapist | 160 S. Seventh Ave., La Puente, CA 91744 | 2015-12-08 |
| 1649668294 | Jennifer Mendoza Leyran | Physical Therapist | 15959 Main Street, La Puente, CA 91744 | 2015-01-06 |
| 1073949863 | Brenda Ann Tabone | Nurse Practitioner | 160 S. Seventh Avenue, La Puente, CA 91744 | 2013-09-25 |
| Find all providers in zip 91744 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
| Find all providers with the same taxonomy | ||||
| City | CITY OF INDUSTRY |
| Zip Code | 91744 |
Please comment or provide details below to improve the information on RAFAEL UBALDO CHAVEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.