Mayder Chacon, RN
Registered Nurse, Case Management in Arleta, CA. Individual provider (NPI-1).
NPI number1194921965
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1194921965
- Entity type
- Individual (NPI-1)
- Name
- Mayder Chacon
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 26, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC0400X | Registered Nurse, Case Management | 583986 | CA | Yes |
Practice location
8902 Woodman AveArleta, CA 91331-6401
Phone 818-830-7033
Mailing address
8902 Woodman AveArleta, CA 91331-6401
Phone 818-830-7033
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