Organization Active NPI

Michael J Ricci MD a Prof Corp

  • Family Medicine Physician
  • Chico, CA
National Provider Identifier
1083849061
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G22485 Issued in CA
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

Updated by the provider on Oct 7, 2011

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1083849061MedicaidCA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.