Active NPI
Michael Stephen Prado, DPM
- Foot & Ankle Surgery Podiatrist
- Chico, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E 1166
- 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, 2007
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E 1166 | CA | MD | Foot & Ankle Surgery Podiatrist |
| 1166 | CA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cares Community Health | Current | Accepting new patients | |
| Health and Life Organization, Inc. | Current | Accepting new patients | |
| Health and Life Organization, Inc. | Current | Accepting new patients | |
| Cares Community Health | Current | Accepting new patients | |
| Health and Life Organization, Inc | Current | Accepting new patients | |
| Foot and Ankle Clinic of Northern | Foot & Ankle Surgery | Past | Accepting new patients |
| Health and Life Organization, Inc. | Past | Accepting new patients | |
| Premier Foot & Ankle Inc | Foot & Ankle Surgery | Past | 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.
-
dba One Community Health
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1447297379
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1740336734
-
dba One Community Health - Carmichael Health Center
- Federally Qualified Health Center (FQHC)
- Carmichael, CA
- NPI 1255180873
-
dba Sacramento Community Clinic - Assembly Court
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1295044832
-
dba Sacramento Community Clinic - El Camino
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1427715515
-
- Foot & Ankle Surgery Podiatrist
- Chico, CA
- NPI 1003125600
-
dba Sacramento Community Clinic
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1538180245
-
- Foot & Ankle Surgery Podiatrist
- Chico, CA
- NPI 1861366106
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.