Active NPI
E Gregory Cehan, MD
- Otolaryngology Physician
- Meadow Vista, CA
National Provider Identifier
1235192063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- C037091
- Practice address
- 615 Country Rd
Meadow Vista, CA 95722-9502 - Phone
- (530) 878-0170
- Fax
- (530) 878-9925
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | C037091 | CA | Primary |
Addresses
Primary practice location
615 Country Rd
Meadow Vista, CA 95722-9502
Mailing address
615 Country Rd
Meadow Vista, CA 95722-9502
Phone (530) 878-0170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C370910 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C037091 | CA | MD | Otolaryngology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1235192063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 COUNTRY RD",
"city": "MEADOW VISTA",
"state": "CA",
"postal_code": "957229502",
"telephone_number": "530-878-0170",
"fax_number": "530-878-9925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 COUNTRY RD",
"city": "MEADOW VISTA",
"state": "CA",
"postal_code": "957229502",
"telephone_number": "530-878-0170",
"fax_number": "530-878-9925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEHAN",
"first_name": "E",
"middle_name": "GREGORY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "CA",
"license": "C037091",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C370910",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Meadow Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.