Active NPI
Linda Pendleton, PA-C
- Medical Physician Assistant
- Chico, CA
National Provider Identifier
1104853597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 10631
- Practice address
- 277 Cohasset Rd
Chico, CA 95926-2242 - Phone
- (530) 781-1440
- Fax
- (530) 342-1663
- NPI assigned
- Jun 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 10631 | CA | Primary |
Addresses
Primary practice location
277 Cohasset Rd
Chico, CA 95926-2242
Mailing address
277 Cohasset Rd
Chico, CA 95926-2242
Phone (530) 781-1440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10631 | Other | CA | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10631 | CA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355875200000",
"number": "1104853597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 COHASSET RD",
"city": "CHICO",
"state": "CA",
"postal_code": "959262242",
"telephone_number": "530-781-1440",
"fax_number": "530-342-1663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 COHASSET RD",
"city": "CHICO",
"state": "CA",
"postal_code": "959262242",
"telephone_number": "530-781-1440",
"fax_number": "530-342-1663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENDLETON",
"first_name": "LINDA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2012-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "10631",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA",
"identifier": "10631",
"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 Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.