Active NPI
Stephen a Vannucci MD Inc
- Dermatology Physician
- Chico, CA
National Provider Identifier
1003008616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A71303
- Legal business name
- STEPHEN A VANNUCCI MD INC
- Practice address
- 251 Cohasset Rd
Suite 230
Chico, CA 95926-2241 - Phone
- (530) 342-3686
- Fax
- (530) 879-3040
- NPI assigned
- Aug 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Anthony Vannucci, MD
- Title
- Owner
- Phone
- (530) 342-3686
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A71303 | CA | Primary |
Addresses
Primary practice location
251 Cohasset Rd
Suite 230
Chico, CA 95926-2241
Mailing address
251 Cohasset Rd
Suite 240
Chico, CA 95926-2241
Phone (530) 342-3686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A713030 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
251 Cohasset Rd
Ste 230
Chico, CA 95926
Phone (530) 342-3686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187222400000",
"number": "1003008616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 COHASSET RD",
"address_2": "SUITE 240",
"city": "CHICO",
"state": "CA",
"postal_code": "959262241",
"telephone_number": "530-342-3686",
"fax_number": "530-879-3040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 COHASSET RD",
"address_2": "SUITE 230",
"city": "CHICO",
"state": "CA",
"postal_code": "959262241",
"telephone_number": "530-342-3686",
"fax_number": "530-879-3040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN A VANNUCCI MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-16",
"last_updated": "2007-08-16",
"status": "A",
"authorized_official_last_name": "VANNUCCI",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "530-342-3686",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "CA",
"license": "A71303",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A713030",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chico, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.