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CHICO PEDIATRIC MEDICAL GROUP NPI 1689610123


NPI Information

NPI: 1689610123
Provider Name: CHICO PEDIATRIC MEDICAL GROUP
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 05D0981871

Address:
10 GOVERNORS LN
CHICO, CA
ZIP 95926
Phone: (530) 343-8522
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CHICO PEDIATRIC MEDICAL GROUP is a pediatrics in Chico, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CHICO PEDIATRIC MEDICAL GROUP NPI is 1689610123. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10 GOVERNORS LN
CHICO, CA
ZIP 95926-991
Phone: (530) 343-8522
Fax: (530) 343-3719

The provider's authorized official is John Asarian .
The authorized official title is Ceo and has the following contact phone number (530) 343-8522.

The CLIA number assigned to this NPI record is 05D0981871 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 10/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsG22667CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100G226671MEDICAIDCALIFORNIA
200G226670MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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