Organization Active NPI

Stephen a Vannucci MD Inc

  • Dermatology Physician
  • Chico, CA
National Provider Identifier
1003008616
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A71303 Issued in CA
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

Updated by the provider on Aug 16, 2007

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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00A713030MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.