NPIMap

Organization Active NPI

Enloe Health and Wellness

Doing business as Family Medicine Residency Clinic

  • Primary Care Clinic/Center
  • Chico, CA
National Provider Identifier
1043034085
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ENLOE HEALTH AND WELLNESS
Doing business as
Family Medicine Residency Clinic
Practice address
1601 Esplanade Ste 4
Chico, CA 95926-3370
Phone
(530) 332-9760
Fax
(530) 332-6003
NPI assigned
Nov 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christine Venard
Title
Director, PFS
Phone
(530) 332-6331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1601 Esplanade Ste 4
Chico, CA 95926-3370

Mailing address

1531 Esplanade
Chico, CA 95926-3310
Phone (530) 332-7300

Other names 1

  • Family Medicine Residency Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230301002967 CA Part B Supplier - Clinic/Group Practice 3678946282 Receives reassigned benefits from 50 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chico, CA; Oroville, CA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2328040Enloe Family Medicine Residency Clinic1601 Esplanade, Suite 4, Chico, CA 95926Provider-performed microscopyAug 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
Enloe Health and Wellness9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1043034085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 ESPLANADE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263310",
            "telephone_number": "530-332-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 ESPLANADE STE 4",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263370",
            "telephone_number": "530-332-9760",
            "fax_number": "530-332-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLOE HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "VENARD",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "DIRECTOR, PFS",
        "authorized_official_telephone_number": "530-332-6331"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medicine Residency Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Medicine Residency Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.