Healthcare Provider Details

I. General information

NPI: 1508707340
Provider Name (Legal Business Name): ALEJANDRO CHAVEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2026
Last Update Date: 04/04/2026
Certification Date: 04/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 ALHAMBRA AVE
MARTINEZ CA
94553-3156
US

IV. Provider business mailing address

3353 HEARTLAND AVE
SIMI VALLEY CA
93065-0574
US

V. Phone/Fax

Practice location:
  • Phone: 925-370-5117
  • Fax: 925-370-5052
Mailing address:
  • Phone: 805-630-3299
  • 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 StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: