Greg S Chance, PA-C
Individual provider Active NPI Surgical Physician Assistant · Yuba City, CA
NPI 1124074877 · NPPES record last updated Mar 19, 2019
Key facts
- NPI
- 1124074877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- PA16598 (CA)
- Practice address
- 350 Del Norte Avenue
Yuba City, CA 95991 - Phone
- (530) 671-4182
- Fax
- (530) 671-4835
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Dermatology and Skin Cancer Specialists
Practice addresses (Care Compare)
1507 E March LN
Suite C
Stockton, CA 95210-5625
Phone (209) 227-5052
Hospital & facility affiliations
- Oroville Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040216001047 | CA | Practitioner - Physician Assistant | 8527953967 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA16598 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Current |
Accepting new patients | |
| Edmund Yao MD Inc | Current |
Accepting new patients | |
| Gregory L. Flint M.D., P.C. | Past | Accepting new patients | |
| West Dermatology of Northern California, Inc | Past | Accepting new patients | |
| Temecula Valley Family Physicians Inc. | Past | Accepting new patients |
Locations
1507 E March Ln
Ste C
Stockton, CA 95210
Phone (209) 227-5052
Interoperability endpoints
- advanceddermatologyandskin.gregchance@127196.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA16598 | CA | |
| Surgical Physician Assistant | 363AS0400X | PA16598 | CA | Yes |
Addresses
Primary practice location
350 Del Norte Avenue
Yuba City, CA 95991
Mailing address
1178 Live Oak Blvd
Yuba City, CA 95991-3407
Phone (800) 470-0071
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CC9428 | Other | CA | MEDICARE RAILROAD GROUP # |
| P00243111 | Other | CA | MEDICARE RAILROAD |
| 0PA165982 | Other | CA | INDIVIDUAL PTAN NO. CA. |
Other providers in Yuba City, CA
- Alexander T Cervantes
- Paz Cha
- Inderveer Singh Chahal
- Nancy Valerie Chamberlin
- Hugo Y Chan
- Sierra Christine Chancellor
- Yer Chang
- Changaris Chiropractic Wellness & Vitality Center
- Sayrar Chansomebath
- Geeta Chaparala
All providers in Yuba City, CA · Surgical Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.