Mark Chavez (NPI# 1487813150, PAC ID# 9638238678) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1487813150 |
| PAC ID by PECOS | 9638238678 |
| Professional Enrollment ID | I20081106000204 |
| Full Name | Mark Chavez |
| Organization Legal Name | PREMIER HEALTH PARTNERS |
| Address |
15248 11th St Victorville CA 92395-3704 |
| Phone Number | 7608436099 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA, UCLA SCHOOL OF MEDICINE |
| Graduation Year | 2004 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1759564396 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050423 | PALO VERDE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2601 E Chapman Ave, Orange, CA 92869-3206 | 71463300111390 | PREMIER HEALTH PARTNERS |
| 15248 11th St, Victorville, CA 92395-3704 | 7608436099 | PREMIER HEALTH PARTNERS |
| Organization Legal Name | PREMIER HEALTH PARTNERS |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron P Castro | Emergency Medicine | Premier Health Partners | 2601 E Chapman Ave, Orange, CA 92869-3206 |
| Jaafar M Bermani | General Surgery | Premier Health Partners | 250 N 1st St, Blythe, CA 92225-1702 |
| Street Address |
15248 11TH ST |
| City | VICTORVILLE |
| State | CA |
| Zip | 92395-3704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian M Coombe | Emergency Medicine | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Dee M Larcheveque | Emergency Medicine | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Orlando Ricci | Anesthesiology | Golden State Anesthesia Consultants, Inc. | 15248 11th St, Victorville, CA 92395-3704 |
| Richard M Obler | Family Medicine | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Chang-ho L Chon | Anesthesiology | Golden State Anesthesia Consultants, Inc. | 15248 11th St, Victorville, CA 92395-3704 |
| Lisa Rogers | Nurse Practitioner | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Monica D Serna | Emergency Medicine | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Michael R Manolescu | Emergency Medicine | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Jie Ren | Anesthesiology | Golden State Anesthesia Consultants, Inc. | 15248 11th St, Victorville, CA 92395-3704 |
| Lydia A Cruz | Anesthesiology | Orange Coast Anesthesia Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nogba Pawoo | Pathology | High Desert Pathology Medical Group | 15248 11th St E, Department of Pathology, Victorville, CA 92395-3704 |
| Shabbir N Sabir | Family Medicine | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Paul C Lee | Anesthesiology | Golden State Anesthesia Consultants, Inc. | 15248 11th St, Victorville, CA 92395-3704 |
| Lourdes Villasenor | Nurse Practitioner | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Bharati H Shah | Anesthesiology | Orange Coast Anesthesia Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Marcellina Johnson | Nurse Practitioner | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| James Johnson Jr. | Emergency Medicine | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Taline Bedelian | Nurse Practitioner | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Aaron Stavinoha | Emergency Medicine | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Seyed S Kamali | Anesthesiology | Golden State Anesthesia Consultants, Inc. | 15248 11th St, Victorville, CA 92395-3704 |
| Find all physicians in zip 92395 | |||
| City | VICTORVILLE |
| Zip Code | 92395 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | VICTORVILLE + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Mark Chavez.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.