ANGEL CHAVIRA, SR. FNP-BC – NPI #1205785110
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

ANGEL CHAVIRA, SR. is a physician located in COLTON, CA. NPPES has assigned the NPI number 1205785110 to ANGEL CHAVIRA, SR. on January 23, 2026. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ANGEL CHAVIRA, SR. below.

NPI Profile for
ANGEL CHAVIRA, SR.

NPI Number
1205785110
Enumeration Date

(about 5 months ago)
Entity Type
Type-1  Individual (Male)
Legal Name
ANGEL CHAVIRA, SR.
Credentials
FNP-BC
Primary location
301 S LA CADENA DR
COLTON, CA 92324-3419
Phone: (909) 219-5260 Fax:
Mailing address
13220 WILD SAGE LN
MORENO VALLEY, CA 92555-4531
Phone: Fax:
Sole Proprietor
Yes
Updated
Certification Date
Jan 23, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
CA 95036766

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.