Active NPI
Michael J Ricci MD a Prof Corp
- Family Medicine Physician
- Chico, CA
National Provider Identifier
1083849061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G22485
- Legal business name
- MICHAEL J RICCI MD A PROF CORP
- Practice address
- 774 East Ave
Chico, CA 95926-1253 - Phone
- (530) 894-0311
- Fax
- (530) 894-5525
- NPI assigned
- May 20, 2009
- 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
- Michael J Ricci, MD
- Title
- Ceo
- Phone
- (530) 894-0311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G22485 | CA | Primary |
Addresses
Primary practice location
774 East Ave
Chico, CA 95926-1253
Mailing address
774 East Ave
Chico, CA 95926-1253
Phone (530) 894-0311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083849061 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242777600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1317945600000",
"number": "1083849061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "774 EAST AVE",
"city": "CHICO",
"state": "CA",
"postal_code": "959261253",
"telephone_number": "530-894-0311",
"fax_number": "530-894-5525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "774 EAST AVE",
"city": "CHICO",
"state": "CA",
"postal_code": "959261253",
"telephone_number": "530-894-0311",
"fax_number": "530-894-5525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL J RICCI MD A PROF CORP",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-20",
"last_updated": "2011-10-07",
"status": "A",
"authorized_official_last_name": "RICCI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "530-894-0311",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "G22485",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1083849061",
"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 Oct 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.