NPIMap

Organization Active NPI

Northstate Foot & Ankle Specialist Inc

  • Podiatric Clinic/Center
  • Chico, CA
National Provider Identifier
1114415759
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
E4327 Issued in CA
Legal business name
NORTHSTATE FOOT & ANKLE SPECIALIST INC
Practice address
1806 Foundation Lane
Chico, CA 95928
Phone
(530) 891-3338
Fax
(530) 894-5771
NPI assigned
Apr 30, 2018
Last updated
Jun 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Chandra M. Pasamonte, DPMNPI 1447207394
Title
Ceo/ Owner
Phone
(530) 891-3338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X E4327 CA Primary

Addresses

Primary practice location

1806 Foundation Lane
Chico, CA 95928

Mailing address

1806 Foundation LN
Chico, CA 95928-9206
Phone (530) 891-3338

Other practice location 1

690 Azalea Ave
Redding, CA 96002-0217
Phone (530) 221-1666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180720002242 CA Part B Supplier - Clinic/Group Practice 3870840812 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
Practice locations: Chico, CA; Redding, CA
O20190116001585 CA DME Supplier - Physician - Podiatry 3870840812 Practice locations: Chico, CA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Northstate Foot Ankle Spec3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2103 Forest Ave
Chico, CA 95928
Phone (530) 895-3668

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1114415759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 FOUNDATION LN",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959289206",
            "telephone_number": "530-891-3338",
            "fax_number": "530-894-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 FOUNDATION LANE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "95928",
            "telephone_number": "530-891-3338",
            "fax_number": "530-894-5771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "690 Azalea Ave",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960020217",
            "country_code": "US",
            "telephone_number": "530-221-1666",
            "fax_number": "530-221-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHSTATE FOOT & ANKLE SPECIALIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-30",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "PASAMONTE",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO/ OWNER",
        "authorized_official_telephone_number": "530-891-3338",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "CA",
            "license": "E4327",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.