CHICO SURGERY CENTER LP NPI 1164421004

NPI Information

NPI: 1164421004
Provider Name: CHICO SURGERY CENTER LP

Other Name: CHICO SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
615 W EAST AVE
CHICO, CA
ZIP 95926
Phone: (530) 895-1800
Get Directions

CHICO SURGERY CENTER LP is an ambulatory surgical clinic center in Chico, CA. CHICO SURGERY CENTER LP NPI is 1164421004. The provider is registered as an organization entity type.
The provider Other Name Is Chico Surgery Center.

The provider's business location address is:

615 W EAST AVE
CHICO, CA
ZIP 95926-201
Phone: (530) 895-1800
Fax: (530) 895-1877

The provider's authorized official is Jenetha D Moran .
The authorized official title is Medicare Authorized Official and has the following contact phone number (972) 763-3893.

The CLIA number assigned to this NPI record is 05D1017466 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/20/2005 and was last updated on 12/17/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	230000315	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	490004633	OTHER	CALIFORNIA	RAILROAD MEDICARE
2	ZZZ28867Z	MEDICARE PIN
3	SUR01453G	MEDICAID	CALIFORNIA

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »