NPIMap

Organization Active NPI

Enloe Primary Physicians Medical Group a Medical Corporation

Doing business as Chico Hospitalist Group

  • Hospitalist Physician
  • Chico, CA
National Provider Identifier
1205877156
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
ENLOE PRIMARY PHYSICIANS MEDICAL GROUP A MEDICAL CORPORATION
Doing business as
Chico Hospitalist Group
Practice address
1531 Esplanade
Chico, CA 95926-3310
Phone
(530) 896-7455
Fax
(530) 896-1730
NPI assigned
Jun 10, 2006
Last updated
Jul 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Authorized official

Name
Dr. Brian T Courtney, M.D.NPI 1023052677
Title
President/Ceo
Phone
(530) 896-7455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X NU Primary

Addresses

Primary practice location

1531 Esplanade
Chico, CA 95926-3310

Mailing address

1209 Esplanade
Suite 2
Chico, CA 95926-3397
Phone (530) 896-7455

Other identifiers 1

IdentifierTypeStateIssuer
GR0092720MedicaidCA

Other names 1

  • Chico Hospitalist Group Doing business as

National Provider Directory

National Provider Directory

Locations

1209 Esplanade
Ste 2
Chico, CA 95926
Phone (530) 896-7455

Practitioners & affiliated clinicians

Practitioners 12

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": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1205877156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 ESPLANADE",
            "address_2": "SUITE 2",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263397",
            "telephone_number": "530-896-7455",
            "fax_number": "530-896-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 ESPLANADE",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263310",
            "telephone_number": "530-896-7455",
            "fax_number": "530-896-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLOE PRIMARY PHYSICIANS MEDICAL GROUP A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "COURTNEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "530-896-7455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0092720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chico Hospitalist Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 25, 2013; 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.