Individual provider Active NPI

Michael Stephen Prado, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chico, CA
National Provider Identifier
1245262948
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E 1166 Issued in CA
Practice address
676 E 1St Ave Ste 9
Chico, CA 95926-3547
Phone
(530) 342-5621
Fax
(530) 342-5636
NPI assigned
Jul 6, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E 1166 CA Primary

Addresses

Primary practice location

676 E 1St Ave Ste 9
Chico, CA 95926-3547

Mailing address

676 E 1St Ave Ste 9
Chico, CA 95926-3547
Phone (530) 342-5621

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040302000886 CA Practitioner - Podiatry 2567359730 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E 1166CAMDFoot & Ankle Surgery Podiatrist
1166CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cares Community Health CurrentSince Mar 28, 2015 Accepting new patients
Health and Life Organization, Inc. CurrentSince Sep 8, 2021 Accepting new patients
Health and Life Organization, Inc. CurrentSince Sep 8, 2021 Accepting new patients
Cares Community Health CurrentSince Mar 28, 2015 Accepting new patients
Health and Life Organization, Inc Current Accepting new patients
Foot and Ankle Clinic of Northern Foot & Ankle Surgery PastSince Oct 12, 2010 Accepting new patients
Health and Life Organization, Inc. Past Accepting new patients
Premier Foot & Ankle Inc Foot & Ankle Surgery PastSince Oct 5, 2025 Accepting new patients

Locations

1500 21st St
Sacramento, CA 95811
Phone (916) 443-3299

5524 Assembly Ct
Sacramento, CA 95823
Phone (916) 642-1880

7275 E Southgate Dr
Ste 204
Sacramento, CA 95823
Phone (916) 428-3788

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1245262948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 E 1ST AVE STE 9",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263547",
            "telephone_number": "530-342-5621",
            "fax_number": "530-342-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 E 1ST AVE STE 9",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263547",
            "telephone_number": "530-342-5621",
            "fax_number": "530-342-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADO",
        "first_name": "MICHAEL",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E 1166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.