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
Fax: (559) 272-0479
Website:
Authorized official contact:
Name: Chavez, Juan G Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #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 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407129018 NPPES
California MEDICAID 00A676201

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