OrganizationActive
Jose Carlos Chavez
NPI 1447394531 · State or Local Public Health Clinic/Center · Moreno Valley, CA
Provider details
- NPI number
- 1447394531
- Entity type
- Organization
- Primary specialty
- State or Local Public Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jose Chavez, Nurse Practitioner(951) 924-5023
- License
- 14641 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
17299 Cremello Way
Moreno Valley, CA 92555
Phone: (951) 924-5023
Approximate (ZIP-level) locationGet directions
Mailing address
17299 Cremello Way
Moreno Valley, CA 92555
Other names (DBA / former)
- Other name
- None
Registry dates
- Enumerated
- 2007-02-20
- Last updated
- 2008-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.