Healthcare Provider Details

I. General information

NPI: 1144012931
Provider Name (Legal Business Name): KARINA CHAVEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 05/19/2025
Certification Date: 05/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1360 E LASSEN AVE
CHICO CA
95973-7823
US

IV. Provider business mailing address

83 TRAVERTINE CT
LATHROP CA
95330-8828
US

V. Phone/Fax

Practice location:
  • Phone: 530-893-0758
  • Fax:
Mailing address:
  • Phone: 209-221-2416
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: