Mission Ranch Primary Care Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MISSION RANCH PRIMARY CARE INC

Practice address

114 Mission Ranch Blvd
Suite 10
Chico, CA 95926-5137

Phone

(530) 894-0500

Fax

(530) 345-2532

NPI assigned

Oct 6, 2016

Organization subpart

No

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

Authorized official

Name

James Westcott, MD

Title

President

Phone

(530) 894-0500

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BBDAAA

Practitioners 18

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

• Jeffrey Brian Carlson, D.O.

  • Internal Medicine Physician
  • Chico, CA
  • NPI 1750642849
  Medicare reassignment Care Compare group NPD
• Tiffany Carlson, DO

  • Family Medicine Physician
  • Chico, CA
  • NPI 1144581554
  Medicare reassignment Care Compare group NPD
• Bryan Furst, M.D.

  • Family Medicine Physician
  • Chico, CA
  • NPI 1992960405
  Medicare reassignment Care Compare group NPD
• Sameena S. Khan, MD

  • Pulmonary Disease Physician
  • Chico, CA
  • NPI 1639264989
  Medicare reassignment Care Compare group NPD
• Miriah Ashlie Roach, FNP-C

  • Family Nurse Practitioner
  • Chico, CA
  • NPI 1801785977
  Medicare reassignment Care Compare group NPD
• David Wesley Skillin

  • Family Nurse Practitioner
  • Chico, CA
  • NPI 1699504480
  Medicare reassignment Care Compare group NPD
• Shirley Huffman

  • Medical Physician Assistant
  • Chico, CA
  • NPI 1811431455
  Medicare reassignment Care Compare group
• Bob Kurts, P.A.

  • Physician Assistant
  • Paradise, CA
  • NPI 1033144712
  Medicare reassignment Care Compare group
• Stuart E Mishelof, P.A.

  • Medical Physician Assistant
  • Chico, CA
  • NPI 1821300534
  Medicare reassignment Care Compare group
• Debra Diane Peterson, PAC

  • Medical Physician Assistant
  • Chico, CA
  • NPI 1285725895
  Medicare reassignment Care Compare group
• Mark K Weeber, MD

  • Internal Medicine Physician
  • Chico, CA
  • NPI 1144324492
  Medicare reassignment Care Compare group
• Victoria Bender, FNP-C

  • Family Nurse Practitioner
  • Chico, CA
  • NPI 1053267112
  NPD

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1316497910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 MISSION RANCH BLVD",
            "address_2": "SUITE 10",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959265137",
            "telephone_number": "530-894-0500",
            "fax_number": "530-345-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MISSION RANCH BLVD",
            "address_2": "SUITE 10",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959265137",
            "telephone_number": "530-894-0500",
            "fax_number": "530-345-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION RANCH PRIMARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "WESTCOTT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-894-0500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jeanne Miner, FNP
• Renee D Minor, LVN
• Timothy George Miranda Jr.
• Saulo Israel Mireles
• Stuart E Mishelof, P.A.
• Joan Marie Mitchell, RN CNOR CRNFA
• Joseph Jay Mitchell
• Khalila Mitchell, AMFT, APCC
• Marcel McKee Mitchell
• Shelly Lee Mitchell, PH.D.

• Family Medicine Physician in Chico, CA
• Providers in Chico, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.