NPIMap

Organization Active NPI

Chico Immediate Care Medical Center, Inc.

  • Clinic/Center
  • Chico, CA
National Provider Identifier
1144276296
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CHICO IMMEDIATE CARE MEDICAL CENTER, INC.
Practice address
376 Vallombrosa Ave
Chico, CA 95926-3900
Phone
(530) 891-1676
Fax
(530) 891-1833
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Authorized official

Name
David Ellis, D.O.
Title
Vice President
Phone
(530) 891-1676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

376 Vallombrosa Ave
Chico, CA 95926-3900

Mailing address

376 Vallombrosa Ave
Chico, CA 95926-3900
Phone (530) 891-1676

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1144276296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 VALLOMBROSA AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263900",
            "telephone_number": "530-891-1676",
            "fax_number": "530-891-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 VALLOMBROSA AVE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263900",
            "telephone_number": "530-891-1676",
            "fax_number": "530-891-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICO IMMEDIATE CARE MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "530-891-1676",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "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 Feb 9, 2009; 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.