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DR. GUSTAVO CHAVEZ MD
NPI 1295484111
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since March 18, 2022PECOS Enrolled
4150 V ST, SACRAMENTO, CA 95817(916) 734-5028 Get Directions Write a Review

NPPES record last updated: March 18, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Gustavo Chavez Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GUSTAVO CHAVEZ MD (NPI 1295484111) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295484111
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. GUSTAVO CHAVEZCredential: MD
Location Address4150 V STSacramento, CA 95817-1460
Mailing Address4150 V StSacramento, CA 95817-1460 · (916) 734-5028
Phone(916) 734-5028
Sole ProprietorYes
Enumeration DateMarch 18, 2022
NPPES CertifiedMarch 18, 2022
✔ NPI 1295484111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4150 V ST, Sacramento, CA 95817
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gustavo Chavez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENNETH D. WHEELER CRNA
Nurse Anesthetist, Certified Registered
4150 V ST, PSSB-SUITE 1200, MED: ANESTHESIA
SACRAMENTO, CA 95817
Sacramento County (916) 734-7985
DR. MICHAEL JOHN THORNTON MD
Internal Medicine (Critical Care Medicine)
4150 V ST, SUITE 3400
SACRAMENTO, CA 95817
Sacramento County (916) 734-3566
THOMAS M. GOODNOW CRNA
Nurse Anesthetist, Certified Registered
4150 V ST, PSSB-SUITE 1200, MED: ANESTHESIA
SACRAMENTO, CA 95817
Sacramento County (916) 734-7985
DR. POURIA KASHKOULI M.D.
Internal Medicine
4150 V ST, #3116
SACRAMENTO, CA 95817
Sacramento County (916) 734-7080
DR. ALISON SEMRAD D.O.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4150 V ST, #3116
SACRAMENTO, CA 95817
Sacramento County (916) 734-7080
DR. DIANE HADDOCK M.D.
Internal Medicine
4150 V ST, #3116
SACRAMENTO, CA 95817
Sacramento County (916) 734-7080
JOHN S MILLAR M.D.
Internal Medicine (Critical Care Medicine)
4150 V ST, SUITE 3400
SACRAMENTO, CA 95817
Sacramento County (916) 734-3564
UC DAVIS
General Acute Care Hospital
4150 V ST, 2100
SACRAMENTO, CA 95817
Sacramento County (916) 734-8583

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gustavo Chavez's NPI number?

The NPI number for Gustavo Chavez is 1295484111. It was assigned to this individual provider in the NPPES registry on March 18, 2022.

Where is Gustavo Chavez located?

Gustavo Chavez practices at 4150 V St, Sacramento, CA 95817. The listed phone number is (916) 734-5028.

What is Gustavo Chavez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Gustavo Chavez enrolled in Medicare?

Yes. Gustavo Chavez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gustavo Chavez was last updated on March 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.