Northstate Foot & Ankle Specialist Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NORTHSTATE FOOT & ANKLE SPECIALIST INC

Practice address

2216 Buenaventura Blvd Ste a
Redding, CA 96001-3838

Phone

(530) 221-1666

Fax

(530) 221-2111

NPI assigned

Oct 2, 2024

Organization subpart

No

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

Authorized official

Name

Abbey Chanco

Title

Practice Manager

Phone

(530) 891-3338

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Northstate Foot & Ankle Specialist Inc

  • Podiatric Clinic/Center
  • Chico, CA
  • NPI 1114415759

  3870840812

  Same PAC ID

Tax ID family

Northstate Foot Ankle Spec3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Northstate Foot & Ankle Specialist Inc

  • Podiatric Clinic/Center
  • Chico, CA
  • NPI 1114415759
  NPD tax ID
• Northstate Foot & Ankle Specialist Inc

  • Durable Medical Equipment & Medical Supplies
  • Chico, CA
  • NPI 1821573254
  NPD tax ID

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael N. Brown, D.P.M.

  • Podiatrist
  • Redding, CA
  • NPI 1104866102
  NPD
• Rohit Dadi

  • Foot & Ankle Surgery Podiatrist
  • Chico, CA
  • NPI 1861986838
  NPD
• Hayley Anne Ennis

  • Podiatrist
  • Chico, CA
  • NPI 1437775665
  NPD
• Sarah Feddersen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Chico, CA
  • NPI 1609325810
  NPD
• David Matthew Harwood, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Chico, CA
  • NPI 1306995931
  NPD
• Cole Micheal Hembre, DPM

  • Podiatrist
  • Redding, CA
  • NPI 1023423944
  NPD
• Lorelie Joanne Pasamonte Sitangang, DPT

  • Physical Therapist
  • Chico, CA
  • NPI 1902383466
  NPD
• Chandra M. Pasamonte, D.P.M.

  • Podiatrist
  • Chico, CA
  • NPI 1447207394
  NPD
• Kevin Vaughn, DPT

  • Physical Therapist
  • Chico, CA
  • NPI 1447329834
  NPD

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1285452839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 FOUNDATION LN",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959289206",
            "telephone_number": "530-891-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 BUENAVENTURA BLVD STE A",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960013838",
            "telephone_number": "530-221-1666",
            "fax_number": "530-221-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTATE FOOT & ANKLE SPECIALIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "CHANCO",
        "authorized_official_first_name": "ABBEY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "530-891-3338"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Northstate Family Therapy
• Northstate Foot & Ankle Specialist Inc
• Northstate Physical Therapy & Rehabilitation, Inc.
• Courtnee Lyn Norton
• Ronald Anthony Novelli, PA
• Now Hear This, Inc

• Durable Medical Equipment & Medical Supplies in Redding, CA
• Providers in Redding, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.