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Deactivated NPI 1508621475 Deactivated / Inactive NPI Female Practitioner

Cecilia Ann Chacon

Peer Specialist • Perris, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Cecilia Chacon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 19, 2024
NPI Deactivation Date October 24, 2024
Total Practice Duration ~1 Years of Practice (2024 – 2024)

Professional Overview & Biography Verified Profile Summary

Cecilia Chacon was a registered Peer Specialist practicing in Perris, CA. Throughout an active medical career spanning 1 years, Cecilia Chacon provided care at the practice location at 27341 READ ST until profile deactivation on 2024-10-24.

Practice Location & Contact Primary Location

Practice Address

27341 Read St

Perris, CA 925706936

Telephone 9514765957

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Perris, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
62 Specialists

Practicing in Perris, CA (4567 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
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NPI Profile Deactivated October 24, 2024

Record deactivated on October 24, 2024

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NPI Profile Deactivated October 23, 2024

Record deactivated on October 23, 2024

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Updated Practice Location September 19, 2024

Registered at 9890 COUNTY FARM RD STE 1, RIVERSIDE, CA 925033678 (Tel: 9515098339)

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Updated Business Mailing Address September 19, 2024

Registered at 9890 COUNTY FARM RD STE 1, RIVERSIDE, CA 925033678 (Tel: 9515098339)

NPI Profile Active February 19, 2024

NPI status registered as active in NPPES database

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Updated Practice Location February 19, 2024

Registered at 27341 READ ST, PERRIS, CA 925706936 (Tel: 9514765957)

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Updated Business Mailing Address February 19, 2024

Registered at 27341 READ ST, PERRIS, CA 925706936 (Tel: 9514765957)

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Provider Name / Credentials Updated February 19, 2024

Recorded as CECILIA CHACON

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 19, 2024

Peer Specialist

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Initial NPI Registration & Enumeration February 19, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508621475
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 19, 2024
Last Update: February 19, 2024
Deactivation Date: October 24, 2024

Mailing Address

27341 Read St

Perris, CA 925706936

Phone: 9514765957

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.