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NPI Code Detail

MEDICARE: DR. ROCKY CHAVEZ M.D.

MEDICARE: DR. ROCKY CHAVEZ M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207Q00000XFamily Medicine PhysicianA114095CA

General Provider Information

NPI Number : 1013148535
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROCKY CHAVEZ M.D.
Provider Business Mailing Address
First Line : 1201 24TH ST
Second Line : B110-110
City : BAKERSFIELD
State : CA
Zip : 93301-2300
Country : US
Telephone Number : 661-331-8640
Fax Number :
Provider Business Practice Location Address
First Line : 9710 BRIMHALL RD
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93312-2779
Country : US
Telephone Number : 661-331-8640
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2009
Last Update Date : 04/23/2014

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Directions to “ DR. ROCKY CHAVEZ M.D.” Practice Location

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