CARMEN VICTORIA CHACON ORELLANA MD
NPI 1689419848
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since June 28, 2024PECOS Enrolled
1111 E MCDOWELL RD, PHOENIX, AZ 85006(602) 839-3054 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2025, Jul 12, 2024, Jun 28, 2024 (3 updates tracked since 2024).

About Carmen Victoria Chacon Orellana Md NPPES

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

CARMEN VICTORIA CHACON ORELLANA MD (NPI 1689419848) is an individual student in an organized health care education/training program in Phoenix, Arizona, licensed in Arizona (R81674) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689419848
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCARMEN VICTORIA CHACON ORELLANACredential: MD
Location Address1111 E MCDOWELL RDPhoenix, AZ 85006-2612
Mailing Address2624 E Cactus Rd Apt 4123Phoenix, AZ 85032-7043 · (404) 790-2624
Sole ProprietorNo
Enumeration DateJune 28, 2024
Last NPPES UpdateJune 9, 20253 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
NPI 1689419848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in AZ · R81674
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.
1111 E MCDOWELL RD, Phoenix, AZ 85006

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Carmen Victoria Chacon Orellana 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.

Emergency Medicine
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Internal Medicine
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Psychiatry & Neurology (Neurology)
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Emergency Medicine
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Physician Assistant (Medical)
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Nurse Practitioner (Acute Care)
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Physician Assistant
1111 E MCDOWELL RD
PHOENIX, AZ 85006
Pharmacist
1111 E MCDOWELL RD, BANNER GOOD SAMARITAN MEDICAL CENTER PHARMACY
PHOENIX, AZ 85006

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 Carmen Victoria Chacon Orellana's NPI number?

The NPI number for Carmen Victoria Chacon Orellana is 1689419848. It was assigned to this individual provider in the NPPES registry on June 28, 2024.

Where is Carmen Victoria Chacon Orellana located?

Carmen Victoria Chacon Orellana practices at 1111 E Mcdowell Rd, Phoenix, AZ 85006. The listed phone number is (602) 839-3054.

What is Carmen Victoria Chacon Orellana's specialty?

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

Is Carmen Victoria Chacon Orellana enrolled in Medicare?

Yes. Carmen Victoria Chacon Orellana is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carmen Victoria Chacon Orellana was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.