Individual provider Active NPI

Loren Glen Ott, PA

  • Physician Assistant
  • Chico, CA
National Provider Identifier
1316904428
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA16797 Issued in CA
Practice address
1600 Esplanade
Suite C
Chico, CA 95926-3369
Phone
(530) 897-4500
Fax
(530) 897-4544
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA16797 CA Primary

Addresses

Primary practice location

1600 Esplanade
Suite C
Chico, CA 95926-3369

Mailing address

1600 Esplanade
Suite C
Chico, CA 95926-3369
Phone (530) 897-4500

Other identifiers 3

IdentifierTypeStateIssuer
ZZZ13431ZOtherCAMEDICARE PTAN
00PA16797MedicaidCA
ZZZ52846ZOtherCABLUE SHIELD

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060303000676 CA Practitioner - Physician Assistant 6305852054 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enloe Medical CenterGroup PAC ID 9739092388, 330 clinicians
Brock S Cummings MD IncGroup PAC ID 4880742022, 5 clinicians

Practice addresses (Care Compare)

1531 Esplanade
Chico, CA 95926-3310

251 Cohasset Rd
Suite 130
Chico, CA 95926-2235
Phone (530) 332-6045

888 Lakeside VLG CMNS
Chico, CA 95928-3979
Phone (530) 332-6850

Hospital & facility affiliations

  • Enloe Health Hospital, Chico, CA, CCN 050039

Merit-based Incentive Payment System (MIPS)

Final score
81.49 of 100Reported as group
Quality
60.52
Promoting interoperability
100
Improvement activities
40
Cost
68.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Medical Center CurrentSince Mar 1, 2020 Accepting new patients
Enloe Medical Center CurrentSince Mar 15, 2013 Accepting new patients
Enloe Medical Center CurrentSince Mar 15, 2013 Accepting new patients
Enloe Medical Center Past Accepting new patients

Locations

888 Lakeside Vlg Cmns
Chico, CA 95928
Phone (530) 332-6800

1600 Esplanade
Ste C
Chico, CA 95926
Phone (530) 332-4470

1390 E Lassen Ave
Chico, CA 95973
Phone (530) 332-6332

251 Cohasset Rd
Ste 130
Chico, CA 95926
Phone (530) 332-6021

251 Cohasset Rd
Chico, CA 95926
Phone (530) 332-3980

Interoperability endpoints

  • Direct secure messaging: loren.ott@791.chartlogic.direct-ci.com
  • Direct secure messaging: lott13011@enloedirect.org

Organizations & group practices 6

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1316904428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ESPLANADE",
            "address_2": "SUITE C",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263369",
            "telephone_number": "530-897-4500",
            "fax_number": "530-897-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ESPLANADE",
            "address_2": "SUITE C",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263369",
            "telephone_number": "530-897-4500",
            "fax_number": "530-897-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "LOREN",
        "middle_name": "GLEN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "ZZZ13431Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00PA16797",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ52846Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.