NPIMap

Organization Active NPI

Gary Incaudo M D Inc

  • Allergy & Immunology Physician
  • Chico, CA
National Provider Identifier
1336158302
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
GARY INCAUDO M D INC
Practice address
Ste 110
145 Mission Ranch Blvd
Chico, CA 95926-2175
Phone
(530) 896-2200
Fax
(530) 896-2209
NPI assigned
Aug 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2008

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

Authorized official

Name
Gary A Incaudo, MD
Title
Owner President
Phone
(530) 896-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

Ste 110
145 Mission Ranch Blvd
Chico, CA 95926-2175

Mailing address

Ste 110
145 Mission Ranch Blvd
Chico, CA 95926-2175
Phone (530) 896-2200

Other identifiers 1

IdentifierTypeStateIssuer
GR0082260MedicaidCA

Other names 1

  • Allergy Associates Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229299200000",
    "number": "1336158302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STE 110",
            "address_2": "145 MISSION RANCH BLVD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262175",
            "telephone_number": "530-896-2200",
            "fax_number": "530-896-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STE 110",
            "address_2": "145 MISSION RANCH BLVD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262175",
            "telephone_number": "530-896-2200",
            "fax_number": "530-896-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY INCAUDO M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2008-12-15",
        "status": "A",
        "authorized_official_last_name": "INCAUDO",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "530-896-2200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0082260",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.