Individual provider Active NPI

Surendar Singh Chima, M.D.

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1144235540
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G52721 Issued in CA
Practice address
1400 Expo Pkwy
Sacramento, CA 95815-4230
Phone
(916) 437-6400
Fax
(916) 437-6592
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G52721 CA Primary

Addresses

Primary practice location

1400 Expo Pkwy
Sacramento, CA 95815-4230

Mailing address

1400 Expo Pkwy
Sacramento, CA 95815-4230
Phone (916) 437-6400

Other identifiers 1

IdentifierTypeStateIssuer
G52721MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100222000352 CA Practitioner - Family Practice 2466596929 Reassigns benefits to 1 organization
Practice locations: Sacramento, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Davis School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1400 Expo Pkwy
Sacramento, CA 95815-4230
Phone (916) 437-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Feather River Tribal Health Inc CurrentSince Jun 1, 2020 Accepting new patients

Locations

2145 5th Ave
Oroville, CA 95965
Phone (530) 534-3793

555 W Onstott Rd
Yuba City, CA 95993
Phone (530) 751-8454

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1144235540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 EXPO PKWY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154230",
            "telephone_number": "916-437-6400",
            "fax_number": "916-437-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 EXPO PKWY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154230",
            "telephone_number": "916-437-6400",
            "fax_number": "916-437-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIMA",
        "first_name": "SURENDAR",
        "middle_name": "SINGH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G52721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G52721",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.