Florence Medical Group of California PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FLORENCE MEDICAL GROUP OF CALIFORNIA PC

Practice address

1046 Mangrove Ave Ste B
Chico, CA 95926-3548

Phone

(530) 332-8877

Fax

(530) 332-8985

NPI assigned

Jan 26, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jason Randolph Vance, MD

Title

President

Phone

(607) 738-6356

Specialties & licenses 2

Addresses

Other names 1

• FLORENCE HEALTH Doing business as

Locations

Practitioners 2

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

• Tobin Scott Duisenberg, PA-C

  • Physician Assistant
  • Corning, CA
  • NPI 1417298225
  NPD
• Jean Karen Johnson, FNP-C

  • Nurse Practitioner
  • Chico, CA
  • NPI 1467534354
  NPD (past)

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

{
    "created_epoch": "1611619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1366032047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 LA COSTA AVE",
            "city": "DAYTON",
            "state": "NV",
            "postal_code": "894038774",
            "telephone_number": "202-893-7910",
            "fax_number": "202-893-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1046 MANGROVE AVE STE B",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959263548",
            "telephone_number": "530-332-8877",
            "fax_number": "530-332-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORENCE MEDICAL GROUP OF CALIFORNIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "607-738-6356",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLORENCE HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FLORENCE HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan Fleming, MD
• Cindy Ann Fleury, LPT
• Joseph Thomas Flicker, ACSW
• Madison Donna Flinders
• Florence Medical Group of California II PC
• Katia Lizbeth Flores Navarro, MSW, ACSW
• Nicolas Flores Rios, ACSW
• Juam Flores
• Margaret Mary Foley, LCSW
• Melissa Anne Foley

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.