JON CHAFFEE (NPI# 1881761203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881761203 |
| Entity Type | Individual |
| Full Name | JON CHAFFEE |
| Credential | M.D. |
| Practice Address |
301 Victoria St Costa Mesa CA 92627 |
| Mailing Address |
5318 E 2nd St # 546 Long Beach CA 90803-5324 |
| Practice Telephone | 9512444147 |
| Practice Fax Number | 9512440747 |
| Mailing Telephone | 9512444147 |
| Mailing Fax Number | 9512440747 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2019-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
G69373 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G693732 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5349 E 2nd St, Long Beach, CA 908035357 | 9512444147 | 9512440747 |
| Street Address |
301 VICTORIA ST |
| City | COSTA MESA |
| State | CA |
| Zip Code | 92627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578501110 | V-tach Medical Group Inc. | Clinic/Center | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2006-06-04 |
| 1043811722 | Karen Ranei Tamayo Cabrera | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2020-11-08 |
| 1871193029 | Jordan Francis Roberts | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-7131 | 2020-10-27 |
| 1326653056 | December Loraine Shore | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-7131 | 2020-09-10 |
| 1619586690 | Alexis Flora | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2020-07-27 |
| 1396362489 | David Sallee | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2020-07-06 |
| 1598382095 | Briana April Miller | Registered Nurse | 301 Victoria St, Costa Mesa, CA 92627-7131 | 2020-06-30 |
| 1770100364 | Debra Ruiz Aquino | Licensed Vocational Nurse | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2020-06-29 |
| 1043836257 | Jeremy Quang Le | Social Worker | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2020-06-23 |
| 1033741541 | Brian Jacobo | Social Worker | 301 Victoria St, Costa Mesa, CA 92627-1995 | 2020-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407174 | Ryan Allen Merrell | Technician | 313 E. 17th Pl #l Costa Mesa, Costa Mesa, CA 92627 | 2020-11-04 |
| 1245703412 | Allure Transportation | Non-emergency Medical Transport (VAN) | 1835 Newport Blvd Ste 109 #110, Costa Mesa, CA 92627 | 2019-01-09 |
| 1750857686 | Living Success Center | Marriage & Family Therapist | 445 E. 17th Street, Suites D & E, Costa Mesa, CA 92627 | 2018-10-18 |
| 1790298909 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-a University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1679086862 | Akua Behavioral Health, Inc | Substance Abuse Rehabilitation Facility | 319-b University Drive, Costa Mesa, CA 92627 | 2017-11-09 |
| 1245759018 | Surgical Assistant Associates | Clinic/Center | 186 E. 16th Street, Suite C, Costa Mesa, CA 92627 | 2017-09-13 |
| 1366962334 | Guadalupe A. Mejia Dental Corp. | Dentist | 700 W 19th St., Suite C, Costa Mesa, CA 92627 | 2017-06-21 |
| 1386189033 | Jian Yi Ye | Acupuncturist | 2488 Newport Blvd Ste B1, Costa Mesa, CA 92627 | 2017-01-04 |
| 1144764606 | Michele Marie Patton | Dental Hygienist | 2220 Fairview Rd., Costa Mesa, CA 92627 | 2016-12-18 |
| 1881148500 | Valerie Nguyen | Pharmacist | 1835 Newport Blvd # C, Costa Mesa, CA 92627 | 2016-08-10 |
| Find all providers in zip 92627 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639613359 | Prohealth Partners A Medical Group Inc | Psychiatry & Neurology | 2900 Bristol St Ste B203, Costa Mesa, CA 92626-5948 | 2016-12-14 |
| 1437424884 | George Tun | Psychiatry & Neurology | 1503 S Coast Dr Ste 111, Costa Mesa, CA 92626-1526 | 2012-03-19 |
| 1245550573 | Usha Rani Sannidhi Venkata | Psychiatry & Neurology | 1675 Scenic Avenue, Suite 100, Costa Mesa, CA 92626 | 2010-06-09 |
| 1831383207 | Gary Denis Dylewski | Psychiatry & Neurology | 234 East 17th St, Ste 201, Costa Mesa, CA 92627-3855 | 2007-08-29 |
| 1700942117 | Thomas J Grayden | Psychiatry & Neurology | 301 Ave Victoria, Costa Mesa, CA 92627 | 2006-12-29 |
| 1417030222 | Gustavo Alva | Psychiatry & Neurology | 3151 Airway Ave Ste T3, Costa Mesa, CA 92626-4627 | 2006-10-23 |
| 1437163953 | Robert R Johnson | Psychiatry & Neurology | 3150 Bristol St Ste 400, Costa Mesa, CA 92626-3054 | 2006-07-28 |
| 1801816764 | Alejandro Alva | Psychiatry & Neurology | 3151 Airway Ave Ste G1, Costa Mesa, CA 92626-4624 | 2006-07-20 |
| 1902860778 | Andrew Inglis | Psychiatry & Neurology | 3115 Red Hill Ave, Costa Mesa, CA 92626-4517 | 2006-04-17 |
| 1649815267 | Brainhealth Solutions, Inc. | Psychiatry & Neurology | 136 Broadway, Costa Mesa, CA 92627-2818 | 2019-11-07 |
| Find all providers in COSTA MESA | ||||
| City | COSTA MESA |
| Zip Code | 92627 |
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| 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.